A morphological study of the human prepubertal and pubertal larynx

Abstract Measurements were made from ten Caucasian male and ten Caucasian female cadaveric larynges ranging in age from 9 to 18 years. The sample was divided into prepubertal and pubertal groups of each sex, respectively. Each specimen was dissected and measured according to a specified protocol so that data on linear and angular dimensions of the laryngeal cartilages and the weight of each cartilage were obtained. Results from this study highlighted differences in the developmental morphology of the circumpubertal larynx. With few exceptions, pubertal laryngeal measurements were significantly larger than prepubertal counterparts in both sexes. No clear sexual dimorphism was found between male and female prepubertal larynges though measurements of the prepubertal female larynx were closer to adult counterparts in size and weight than were those in the male. Thus the female larynx requires less growth per unit time to reach maturity than the male. By puberty, clear sexual dimorphism was evident in the larynx. Linear and weight measurements of the pubertal male larynx were significantly larger than in the female. Though the angle of the thyroid laminae was not significantly different in pubertal male and female cartilages, the thyroid eminence was clearly more prominent in the male. The vocal folds in both sexes reached essentially their adult length by puberty; however, the absolute length of the male vocal folds had increased by over two times that of the female.