Reeve’s Cricothyroid Space

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • Reeve’s Cricothyroid Space:
    • Synonym:
      • Paralaryngingeal space
      • Pemberton space
      • Inter-laryngeal glandular space
  • The lower and lateral retraction of the upper thyroid pole:
    • Reveals a diamond-shaped avascular space
  • The area is limited:
    • Medially:
      • By the lamina of the thyroid cartilage (superiorly) and cricoid cartilage (inferiorly):
        • Both covered by the cricothyroid muscle
    • Inferolaterally:
      • The space is circumscribed by the medial border of the upper thyroid pole and the upper border of the thyroid isthmus
    • The “roof” of the area:
      • Is covered by 2 or 3 “bridge” blood vessels that must be coagulated to access the space
  • The “opening” of this virtual space:
    • Prior to the ligature of the upper thyroid pedicle:
      • Is a safety maneuver to protect the external branch of the superior laryngeal nerve
  • Landmarks:
    1. Thyroid cartilage
    2. Reeve cricothyroid space
    3. Space “bridge” blood vessels
    4. Upper thyroid pole
    5. Cricothyroid muscle
    6. External branch of the superior larngeal nerve
    7. Superior thyroid artery
    8. Superior thyroid vein
  • Reference:
    • Abdullah H, Bliss R, Reeve T, Delbridge L (2000) Recognition of the avascular space medial to the upper pole of the thyroid and its surgical implications. Asian J. Surg. 23: 86–9.

#Arrangoiz #ThyroidSurgeon #ThyroidExpert #HeadandNeckSurgeon #CancerSurgeon #EndocrineSurgery #Teacher #Surgeon

Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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