High-resolution computed tomography of the normal larynx

Computed tomography (CT) provides a unique method of evaluating abnormalities of the larynx by virtue of its cross-sectional images. Several reports have demonstrated its utility in staging laryngeal carcinoma and defining the extent of injury in cases of laryngeal trauma [1-8]. In order to appreciate subtle abnormalities of the larynx, a thorough understanding of the normal structures in this small anatomic area is crucial. Although previous studies have defined the normal CT anatomy of the larynx, many of the CT-anatomic correlations of the normal larynx used earlier-generation CT scanners with relatively poor resolution or were limited to transaxial images [9-13]. We have correlated high-resolution transaxial, coronal, and sagittal CT in vivo images with line drawings displaying normal laryngeal anatomy. The exquisite anatomic detail apparent in these images provides a sound basis for understanding subtle abnormalities in pathologic cases.