Incidence and Surgical Importance of Zuckerkandl’s Tubercle of the Thyroid and Its Relations with Recurrent Laryngeal Nerve
Joint Authors
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-16
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Variations of recurrent laryngeal nerve (RLN) and Zuckerkandl’s tubercle (ZT), which is posterior extension of lateral lobes, may affect safety of thyroidectomy.
Methods.
Total and hemithyroidectomy were surgical procedures in 60 and 40 patients, respectively.
Surgical anatomy was studied in 87 right and 73 left lobes.
Presence of ZT was noted and its incidence was determined.
RLNs were identified and fully isolated.
Relationship between ZT and RLN was established.
Results.
ZTs were identified in 66 (66%) patients and in 81 (51%) lobes.
ZT was present in 53 (61%) right and in 28 (38%) left lobes.
ZTs were bilateral in 15 (25%) of 60 total thyroidectomy cases.
Smaller tubercles show the neurovascular crossing point.
RLN was posterior (medial) to ZT in 76 (94%) occurrences.
RLN was laying on anterior surface of ZT only in 5 (6%) instances.
Conclusions.
RLN is unusually laying lateral to ZT which is common structure in the thyroid.
Lateral RLN may be more vulnerable to injury.
Total thyroidectomy requires dissection of ZT adjacent to RLN.
Based on unusual relations and variations, RLN should be fully isolated before excision of adjacent structures.
American Psychological Association (APA)
Gurleyik, Emin& Gurleyik, Gunay. 2012. Incidence and Surgical Importance of Zuckerkandl’s Tubercle of the Thyroid and Its Relations with Recurrent Laryngeal Nerve. ISRN Surgery،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-472553
Modern Language Association (MLA)
Gurleyik, Emin& Gurleyik, Gunay. Incidence and Surgical Importance of Zuckerkandl’s Tubercle of the Thyroid and Its Relations with Recurrent Laryngeal Nerve. ISRN Surgery No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-472553
American Medical Association (AMA)
Gurleyik, Emin& Gurleyik, Gunay. Incidence and Surgical Importance of Zuckerkandl’s Tubercle of the Thyroid and Its Relations with Recurrent Laryngeal Nerve. ISRN Surgery. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-472553
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-472553