ArticleJournal of anatomy2020
The intercarotid or alar fascia, other cervical fascias, and their adjacent spaces - a plea for clarification of cervical fascia and spaces terminology.
Article in Journal of anatomy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
20 citing papers in PubMed, 39 citations in OpenAlex.
- Functional and cosmetic advantages of gasless endoscopic thyroidectomy in papillary thyroid carcinoma: a randomized trial.World journal of surgical oncology · 2025Trial
- Mechanosensitivity and Adipose Thickness as Determinants of Pressure to Reach Deep Fasciae in Cervical and Thoracolumbar Regions.Sensors (Basel, Switzerland) · 2025Article
- Article
- Partial Thymectomy during Tracheostomy for Superior Herniation of Normal Mediastinal Thymus in a Patient with Larsen Syndrome: A Case Report.Surgical case reports · 2025Article
- Towards a Terminologia Anatomica Humana.Anatomical science international · 2024Article
- Ganglionic Local Opioid Analgesia at the Superior Cervical Ganglion: MRI-Verified Solution Spread.Pain and therapy · 2024Article
- Fascial structure of the anterior mediastinum: the surgical figure of the sternopericardial ligament and the role of affixing the thymus to the pericardium.Journal of thoracic disease · 2024Article
- Continuous Interscalene Brachial Plexus Blocks: An Anatomical Challenge between Scylla and Charybdis?Medicina (Kaunas, Lithuania) · 2024Review
- [Ultrasound-guided low-volume continuous cervical sympathetic nerve block for treatment of an electrical storm].Die Anaesthesiologie · 2023Article
- The carotid sheath: Anatomy and clinical considerations.World neurosurgery: X · 2023Review
- Principles of Treatment and Clinical-Evolutionary Peculiarities of Deep Cervical Spaces Suppurations-Clinical Study.Life (Basel, Switzerland) · 2023Article
- The Alar Fascia and Danger Space: A Modern Review.Cureus · 2022Review
- Thiel embalming in neonates: methodology and benefits in medical training.Anatomical science international · 2022Article
- Paediatric Deep Neck Infection-The Risk of Needing Intensive Care.Children (Basel, Switzerland) · 2022Review
- Retropharyngeal internal carotid artery: a potential risk factor during nasotracheal intubation.Surgical and radiologic anatomy : SRA · 2021Article
- Phylogenetics of the Fascial System.Cureus · 2020Review
- Embryology of the Fascial System.Cureus · 2020Review
- The intercarotid or alar fascia, other cervical fascias, and their adjacent spaces - a plea for clarification of cervical fascia and spaces terminology.Journal of anatomy · 2020Article
- The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 2.Cureus · 2020Review
- The Five Diaphragms in Osteopathic Manipulative Medicine: Myofascial Relationships, Part 1.Cureus · 2020Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Due to varying descriptions and terminology of fascias of the neck, medical advice relying on this basic knowledge is insufficient. Our goal was to provide a precise anatomical description of cervical fascias and spaces with special focus on the intercarotid fascia, or the alar fascia. One hundred bodies donated to science embalmed with Thiel's method were investigated, cervical fascias were dissected layer by layer, and the results were documented by photography, with a focus on the intercarotid fascia. In addition, we performed a review of recent literature concerning cervical surgical interventions, radiological diagnostic pathways, and basic anatomical works focusing on core information on anatomical relations of cervical fascias and spaces. In another 10 bodies donated to science, the spaces of the neck were injected with coloured latex under ultrasound guidance, dissected, and documented by photography. The intercarotid fascia was a constantly developed connective tissue interconnecting the carotid sheath of both sides. In 52 of 100 specimens (52%) it crossed to the opposite side without any fusion to the ventrally situated visceral fascia. Fusion with the visceral fascia was found in 48%, either at the lateral border of the pharynx or on its dorsal side. The results of our dissections strengthen the precise description of the cervical fascias provided by Grodinsky and Holyoke in 1938. Spaces can be confirmed as described by Hafferl in 1969. The international anatomical and ENT societies should codify a unified anatomical terminology of the cervical spaces and fascias to prevent varying interpretations in the future.
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