Thyroid Tubercle of Zuckerkandl: importance in thyroid surgery.

Hdl Handle:
http://hdl.handle.net/10147/207745
Title:
Thyroid Tubercle of Zuckerkandl: importance in thyroid surgery.
Authors:
Sheahan, Patrick; Murphy, Matthew S
Affiliation:
Department of Otolaryngology-Head & Neck Surgery, South Infirmary Victoria, University Hospital, Cork, Ireland. sheahan.patrick@sivuh.ie
Citation:
Laryngoscope. 2011 Nov;121(11):2335-7. doi: 10.1002/lary.22188. Epub 2011 Sep 5.
Journal:
The Laryngoscope
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207745
DOI:
10.1002/lary.22188
PubMed ID:
21898449
Abstract:
OBJECTIVE: The Tubercle of Zuckerkandl (TZ), which is the remant of the lateral thyroid process, is an important anatomic structure that serves as a reliable landmark for the recurrent laryngeal nerve in thyroid surgery. Furthermore, removal of the TZ is critical for the adequate performance of a total thyroidectomy. However, there is little mention of the TZ in surgical textbooks or papers. METHODS: Prospective observational study of 138 consecutive thyroid surgeries. The presence of the TZ, its size, and relationship to the recurrent laryngeal nerve, were recorded. RESULTS: A total of 211 thyroid lobes were included in the study. The TZ was identified in 61.1% of all thyroid lobes. The median size was 8 mm (range = 3-40 mm). A TZ was more commonly identified on the right (69.6%) than on the left side (53.2%) (P = .02). The recurrent laryngeal nerve was found deep to the TZ in 98.4% of cases. CONCLUSIONS: A TZ is present in the majority of thyroid lobes. Awareness of the TZ is critical in performing an adequate total thyroidectomy, and is very useful as a landmark for the recurrent laryngeal nerve.
Language:
eng
MeSH:
Humans; Prospective Studies; Recurrent Laryngeal Nerve/*pathology; Reference Values; Thyroid Gland/*pathology; Thyroidectomy/*methods
ISSN:
1531-4995 (Electronic); 0023-852X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorSheahan, Patricken_GB
dc.contributor.authorMurphy, Matthew Sen_GB
dc.date.accessioned2012-02-01T10:42:43Z-
dc.date.available2012-02-01T10:42:43Z-
dc.date.issued2012-02-01T10:42:43Z-
dc.identifier.citationLaryngoscope. 2011 Nov;121(11):2335-7. doi: 10.1002/lary.22188. Epub 2011 Sep 5.en_GB
dc.identifier.issn1531-4995 (Electronic)en_GB
dc.identifier.issn0023-852X (Linking)en_GB
dc.identifier.pmid21898449en_GB
dc.identifier.doi10.1002/lary.22188en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207745-
dc.description.abstractOBJECTIVE: The Tubercle of Zuckerkandl (TZ), which is the remant of the lateral thyroid process, is an important anatomic structure that serves as a reliable landmark for the recurrent laryngeal nerve in thyroid surgery. Furthermore, removal of the TZ is critical for the adequate performance of a total thyroidectomy. However, there is little mention of the TZ in surgical textbooks or papers. METHODS: Prospective observational study of 138 consecutive thyroid surgeries. The presence of the TZ, its size, and relationship to the recurrent laryngeal nerve, were recorded. RESULTS: A total of 211 thyroid lobes were included in the study. The TZ was identified in 61.1% of all thyroid lobes. The median size was 8 mm (range = 3-40 mm). A TZ was more commonly identified on the right (69.6%) than on the left side (53.2%) (P = .02). The recurrent laryngeal nerve was found deep to the TZ in 98.4% of cases. CONCLUSIONS: A TZ is present in the majority of thyroid lobes. Awareness of the TZ is critical in performing an adequate total thyroidectomy, and is very useful as a landmark for the recurrent laryngeal nerve.en_GB
dc.language.isoengen_GB
dc.subject.meshHumansen_GB
dc.subject.meshProspective Studiesen_GB
dc.subject.meshRecurrent Laryngeal Nerve/*pathologyen_GB
dc.subject.meshReference Valuesen_GB
dc.subject.meshThyroid Gland/*pathologyen_GB
dc.subject.meshThyroidectomy/*methodsen_GB
dc.titleThyroid Tubercle of Zuckerkandl: importance in thyroid surgery.en_GB
dc.contributor.departmentDepartment of Otolaryngology-Head & Neck Surgery, South Infirmary Victoria, University Hospital, Cork, Ireland. sheahan.patrick@sivuh.ieen_GB
dc.identifier.journalThe Laryngoscopeen_GB
dc.description.provinceMunster-

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