Zuckerkandl's tubercle.an anatomical landmark in thyroid surgery
LIU Yan-yan, WU Gao-song, MA Xiao-peng, LIU jie, WANG Jie, HUANG Li-li, YIN Yu-ping
Published 2010-04-25
Cite as Chin J Endocr Surg, 2010, 04(02): 90-91,97. DOI: 10.3760/cma.j.issn.1674-6090.2010.02.007
Abstract
Objective To study the anatomical relation between Zuckerkandl's tubercle(ZT)and recurrent laryngeal nerve(RLN)and the superior parathyroid(SP)glands.Methods 153 patients(121 thyroid cancer and 32 benign diseases)underwent total thyroidectomy from May 2008 to February 2009 were included in our study.We investigated the ZT's presence or absence.size and association with the RLN and SP.Results ZT was identified in most patients.Among them,88.2%(135/153)were found on right,82.4%(90/95) on left and 76.5%(102/108)were found to be bilateral.The RLN was mainly located between the ZT and the main body of the thyroid and 91.7% on riglat(99/108)and 94.7%on left(90/95).94.4% of SP were located on the top of ZT at 10 or 11 o'clock position and 92.6% at about 1 or2 o'clock position.Conclusions There was an important anatomical relationship between ZT and RLN and SP.
Key words:
Zuekerkandl's tubercle; Recurrent laryngeal nerve; Parathyroid gland; Anatomical landmark
Contributor Information
LIU Yan-yan
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
WU Gao-song
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
MA Xiao-peng
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
LIU jie
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
WANG Jie
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
HUANG Li-li
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
YIN Yu-ping
Department of Breast and Thyroid Surgery,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China