• Thyroid Tubercle of Zuckerkandl: importance in thyroid surgery.

      Sheahan, Patrick; Murphy, Matthew S; Department of Otolaryngology-Head & Neck Surgery, South Infirmary Victoria, University Hospital, Cork, Ireland. sheahan.patrick@sivuh.ie (2012-02-01)
      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.
    • Type 1 hypersensitivity reaction to carboxymethylcellulose following intra-articular triamcinolone injection.

      Field, Sinead; Falvey, Eanna; Barry, Josephine; Bourke, John; Dermatology Department, South Infirmary-Victoria University Hospital, Cork, Ireland. sineadfield@hotmail.com (2009-11)
    • Type 1 hypersensitivity reaction to carboxymethylcellulose following intra-articular triamcinolone injection.

      Field, Sinead; Falvey, Eanna; Barry, Josephine; Bourke, John; Dermatology Department, South Infirmary-Victoria University Hospital, Cork,, Ireland. sineadfield@hotmail.com (2012-02-01)
    • An unusual rash in a neonate. X-linked dominant ichthyosis (XLDI).

      Moriarty, B; Bourke, J F; Fitzgibbon, J; Irvine, A D; Department of Dermatology, South Infirmary, Victoria Hospital, Cork, Ireland., blaithinl@hotmail.com (2012-02-01)
    • An unusual rash in a neonate. X-linked dominant ichthyosis (XLDI).

      Moriarty, B; Bourke, J F; Fitzgibbon, J; Irvine, A D; Department of Dermatology, South Infirmary, Victoria Hospital, Cork, Ireland. blaithinl@hotmail.com (2010-04)