Thyroid Tubercle of Zuckerkandl: importance in thyroid surgery.
dc.contributor.author | Sheahan, Patrick | |
dc.contributor.author | Murphy, Matthew S | |
dc.date.accessioned | 2012-02-01T10:42:43Z | |
dc.date.available | 2012-02-01T10:42:43Z | |
dc.date.issued | 2012-02-01T10:42:43Z | |
dc.identifier.citation | Laryngoscope. 2011 Nov;121(11):2335-7. doi: 10.1002/lary.22188. Epub 2011 Sep 5. | en_GB |
dc.identifier.issn | 1531-4995 (Electronic) | en_GB |
dc.identifier.issn | 0023-852X (Linking) | en_GB |
dc.identifier.pmid | 21898449 | en_GB |
dc.identifier.doi | 10.1002/lary.22188 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10147/207745 | |
dc.description.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. | |
dc.language.iso | eng | en_GB |
dc.subject.mesh | Humans | en_GB |
dc.subject.mesh | Prospective Studies | en_GB |
dc.subject.mesh | Recurrent Laryngeal Nerve/*pathology | en_GB |
dc.subject.mesh | Reference Values | en_GB |
dc.subject.mesh | Thyroid Gland/*pathology | en_GB |
dc.subject.mesh | Thyroidectomy/*methods | en_GB |
dc.title | Thyroid Tubercle of Zuckerkandl: importance in thyroid surgery. | en_GB |
dc.contributor.department | Department of Otolaryngology-Head & Neck Surgery, South Infirmary Victoria, University Hospital, Cork, Ireland. sheahan.patrick@sivuh.ie | en_GB |
dc.identifier.journal | The Laryngoscope | en_GB |
dc.description.province | Munster | |
html.description.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. |