The cricoid cartilage and the esophagus are not aligned in close to half of adult patients.
OBJECTIVE
To determine the frequency and degree of lateral displacement of the esophagus relative to the cricoid cartilage ("cricoid") using computed tomography (CT) images of normal necks.


METHODS
Fifty-one cervical CT scans of clinically normal patients were reviewed retrospectively. Esophageal diameter, distance between the midline of the cricoid and the midline of the esophagus, and distance between the lateral border of the cricoid and the lateral border of the esophagus were measured.


RESULTS
Lateral esophageal displacement was observed in 49% (25/51) of CT images. When present, the mean length of displaced esophagus relative to the midline of the cricoid was 3.3 mm +/- SD 1.3 mm. Of those with lateral displacement, 64% had esophageal displacement beyond the lateral border of the cricoid (mean 3.2 mm +/- SD 1.2 mm). There is a relatively normal distribution of the grouped measures of percentage of esophageal diameter that is displaced. Of those with displacement, 48% had over 15% of the total width of the esophagus displaced laterally and 20% had over 20% of the esophageal width displaced laterally.


CONCLUSIONS
There is a 49% frequency of some degree of lateral displacement of the esophagus relative to the cricoid.
Smith
Kevin J
KJ
Department of Anesthesia, St. Joseph's Healthcare and McMaster University, Hamilton, Ontario, Canada. kevjo@sympatico.ca
Ladak
Shayne
S
Choi
Peter T-L
PT
Dobranowski
Julian
J
D000328:Adult; D000368:Aged; D003413:Cricoid Cartilage / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D004947:Esophagus / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012016:Reference Values; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed