Cricoid Cartilage, or cricoid (from the Greek Krikoeides signifying “ring-moulded”) or cricoid ring, is the complete main ring of Cartilage around the windpipe.
It frames the back aspect of the voice box and capacities as a connection site for muscles, cartilages, and tendons associated with opening and shutting the aviation route and delivering a discourse.
Table of Contents
1. What is Cricoid Cartilage?
Cricoid Cartilage sits only substandard compared to the thyroid cartilage in the neck, at the C6 vertebra’s degree, and is medially by the middle cricothyroid tendon and posters-horizontally by the cricothyroid joints.
The second rate compared to Cartilage’s rings around the windpipe (which are not constant – instead, they are C-formed with a hole posteriorly). The cricoid is joined to the principal tracheal ring by the Cricotracheal tendon. This can be felt like an additional yielding zone between the firm thyroid cartilage and firmer cricoid.
2. Where is it Found?
It is found somewhat beneath the thyroid cartilage, which it associates with through the average cricothyroid tendon. It likewise joins the initial tracheal ring through the Cricotracheal tendon.
The thyroid organ has an anatomical relationship with this Cartilage. The organ’s two projections reach out above on either side of the cricoid; however, the thyroid isthmus — an extension of tissue that joins the two parts of the thyroid over the windpipe — is underneath it.
The sidelong (side) and front bits of this Cartilage are marginally smaller than the back segment.
3. Cricoid Cartilage Function
The essential part of the cricoid Cartilage is to give various tendons, cartilages, and muscles, which encourage the opening and closing of the air section and the creation of sound.
Cricoid Cartilage is made out of hyaline, which is delicate and adaptable in youngsters. Notwithstanding, it calcifies and solidifies as it advances in age. The Cartilage might be carefully taken out in uncommon situations where it gets crucial to clear tracheal blockages.
4. How it is Structured?
All cricoid cartilage is hyaline cartilage, and its structure is recognized by type II collagen and chondroitin sulfate inside its extracellular network. This kind of cartilage is healthy, and it encounters almost no grinding because of its smooth, glass-like surface. A perichondrial layer encircles the cricoid cartilage.
Cricoid cartilage develops in an example of circumferential development (cell expansion) and interstitial development (extracellular grid creation). It may be a cartilaginous tissue without quick blood flexibly. This cycle is moderate.
Cricoid cartilage, as all cartilage, is aneural and avascular. Notwithstanding, the thickness of veins in its prompt region gives supplements and oxygen to the perichondrium, from which these then pass using dispersion into the cartilage tissue.
While cartilage tissue itself contains no nerves, the larynx is altogether innervated, similar to the muscles appended to the cricoid cartilage.
5. What Are the Main Problem in Cricoid Cartilage?
Chondroma, the most common benign tumour, is more common in the cricoid cartilage (75%) with an incidence of 0.07-0.2% generally manifesting with dysphonia, slow progression upper respiratory passages obstruction, dyspnea, and dysphagy prevailing between the 3rd and 7th decades of life and more common in the male sex (3:1)
Cricoid Pressure
Cricoid cartilage ought to be recognized by the associate during preoxygenation before acceptance of sedation, and the precision of the milestone ought to be affirmed by the anesthesiologist.
Cricoid weight might be delicately applied toward the beginning of the enlistment grouping, and the value expanded to that necessary simultaneous with acceptance of sedation. The matter ought not to be delivered until the intratracheal position of the cylinder has been affirmed.
Should the patient make spewing movements after sedative acceptance operators’ organization, this creator asks that the aide keep up cricoid pressure. The danger of oesophagal break, but genuine, shows up minuscule.
The threat of yearning ought to cricoid pressure be delivered, albeit additionally indistinct, appears of a more significant extent.
A Cartilage and Membrane
Cricoid cartilage has the state of the seal ring. It comprises an expansive, level backplate called the lamina and a restricted, raised front structure called the arch.
In most cases, the cartilage can be handily touched by distinguishing the thyroid score and running a finger down the midline in a caudad bearing until a wooden, adjusted structure is experienced. The vertical tallness of the curve is 0.5 to 0.7 cm.
The CTM associates the curve’s better fringe than the second rate outskirt of the thyroid cartilage and measures around 1 cm in stature and 2 cm in width. The horizontal outskirts are the combined cricothyroid muscles.
The Cricotracheal tendon interfaces the substandard fringe of the curve to the main tracheal ring’s upper outskirt and measures 0.3 to 0.6 cm in height. The separation between the sub-par outskirt of the thyroid cartilage and the vocal strings differs with sex yet is roughly 0.9 cm.
Functional Anatomy of the Airway
Cricoid cartilage speaks to the anatomic lower breaking point of the larynx and helps uphold it. The name cricoid is gotten from the Greek words Krikos and eidos, which means formed like a ring, and it is as often as possible said to have a seal ring shape.
It is thicker and more grounded than the thyroid cartilage and speaks to the main complete cartilaginous ring in the aviation route. Consequently, careful descending weight on the cricoid cartilage to forestall uninvolved spewing forth is conceivable without the next aviation route block.
Customarily, it was imagined that the pediatric aviation route was tightest at the cricoid’s degree, and proposals for ETT size were made dependent on the size of the cricoid ring.
Notwithstanding, contemplates finished with video bronchoscopes on anaesthetized and incapacitated youngsters have demonstrated that the glottic opening might be smaller than the cricoid district.
Hence, an ETT cylinder may cause more harm to the vocal lines than to the subglottic territory.
