A morphometric study of adult human trachea in West Bengal population
Abstract
Background: Keeping in view the great variations in different dimensions of the human trachea and its remarkable clinical importance, the present work was undertaken. It included the study of dimensions of adult trachea of both sexes in West Bengal population. In addition, an effort was made to establish their relationship with selected external measurements.
Methods: This was a cross-sectional, observational study on 60 cadavers. Relatively disease-free fresh adult cadavers were selected from West Bengal population. Study variables were tracheal length, internal transverse diameter and internal anteroposterior diameter. Selected external measurements were height and sternal length.
Results: In males, the highest correlation was observed between tracheal length and height (r = 0.800), and tracheal length and sternal length (r = 0.799). In females, the highest correlation coefficient was found between tracheal length and height (r = 0.809).
Conclusion: Different formulae were obtained by linear regression with all measurements being in centimeters. Therefore, it is possible to predict the tracheal dimensions from simple external measurements.
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References
Standring S, Gatzoulis MA, Collins P, Healy JC, Wigley C. Thorax. Gray’s Anatomy, 40th edition. Edin. Churchill Livingstone;2008:1000-06.
Schwartz SI, Rusch VW, Ginsberg RJ. Chest wall, pleura, lung and mediastinum. Principles of Surgery, 7th edition. McGraw-Hill; 1999:764.
Kiriluk LB, Merendino KA. An experimental evaluation of bronchial anastomosis and healing with special consideration of plane of transaction. Surg Gynecol Obstet. 1953 Feb;96(2):175-182.
Griscom NT, Wohl ME. Dimensions of the growing trachea related to body height. Length, anteroposterior and transverse diameters, cross-sectional area, and volume in subjects younger than 20 years of age. Am Rev Respir Dis. 1985 Jun;131(6):840-4. DOI: https://doi.org/10.1164/arrd.1985.131.6.840.
Randestad A, Lindholm CE, Fabian P. Dimensions of the cricoid cartilage and the trachea. Laryngoscope. 2000 Nov;110(11):1957-61. DOI: https://doi.org/10.1097/00005537-200011000-00036.
Giles E, Klepinger LL. Confidence intervals for estimates based on linear regression in forensic anthropology. J Forensic Sci. 1988 Sep;33(5):1218-22.
Cherng CH, Wong CS, Hsu CH, et al. Airway length in adults: estimation of the optimal endotracheal tube length for orotracheal intubation. J Clin Anesth. 2002 Jun;14(4):271-4.
Techanivate A, Rodanant O, Charoenraj P, et al. Depth of endotracheal tubes in Thai adult patients. J Med Assoc Thai. 2005 Jun;88(6):775-81.
Evron S, Weisenberg M, Harow E, et al. Proper insertion depth of endotracheal tubes in adults by topographic landmarks measurements. J Clin Anesth. 2007 Feb;19(1):15-9. DOI: https://doi.org/10.1016/j.jclinane.2006.06.005.
Mukherjee S, Ray M, Pal R. Bedside prediction of airway length by measuring upper incisor-manubriosternal joint length. J Anaesthesiol Clin Pharmacol. 2014;30 (2):188-94. doi: https://dx.doi.org/10.4103%2F0970-9185.130011.
Chunder R, Nandi S, Guha R, et al. A morphometric study of human trachea and principal bronchi in different age groups in both sexes and its clinical implications. Nepal Med Coll J. 2010 Dec;12(4):207-14.
Pak HJ, Hong BH, Lee WH. Assessment of airway length of Korean adults and children for otolaryngology and ophthalmic surgery using a fiberoptic bronchoscope. Korean J Anesthesiol. 2010 Oct;59(4):249-55. doi: https://dx.doi.org/10.4097%2Fkjae.2010.59.4.249. Epub 2010 Oct 21.
Begum T, Naushaba H, Alam J, Paul UK, Alim AJ, Akter J, Ahmed R. Cadaveric length of trachea in Bangladeshi adult male. Bangladesh J Anat. 2009;7,1(1):42-44.
Munguía-Canales DA, Ruiz-Flores J, Vargas-Mendoza GK, et al. Tracheal dimensions in the Mexican population. Cir Cir. 2011 Nov-Dec;79(6):505-10.
Kamel KS, Lau G, Stringer MD. In vivo and in vitro morphometry of the human trachea. Clin Anat. 2009 Jul;22(5):571-9. doi: https://doi.org/10.1002/ca.20815.
Jesseph JE, Merendino KA. The dimensional interrelationships of the major components of the human tracheobronchial tree. Surg Gynecol Obstet. 1957 Aug;105(2):210-4
Breatnach E, Abbott GC, Fraser RG. Dimensions of the normal human trachea. DOI: https://doi.org/10.2214/ajr.142.5.903.
Zahedi-Nejad N, Bakhshayesh-Karam M, Kahkoei S, et al. Normal dimensions of trachea and two main bronchi in the Iranian population. Pol J Radiol. 2011 Oct;76(4):28-31.
Prasanna Kumar S, Ravikumar A. Biometric study of the internal dimensions of subglottis and upper trachea in adult Indian population. Indian J Otolaryngol Head Neck Surg. 2014 Jan;66(Suppl 1):261-6. doi: https://doi.org/10.1007/s12070-012-0477-x. Epub 2012 Jan 21.
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