Literature DB >> 26186660

Proposal for anatomical classification of the superior pole in thyroid surgery.

Aviram Mizrachi1, Christina E Swartzwelder1, Ashok R Shaha1.   

Abstract

OBJECTIVE: To propose a distinct anatomical classification for the superior thyroid pole that may serve as a surgical landmark and could help reduce complications in thyroid surgery.
MATERIALS AND METHODS: A comprehensive anatomical study based on existing literature and surgical observations.
RESULTS: The proposed superior pole classification is based on two parameters that closely interact: one is the shape of the superior pole and the other is the structure of the vascular pedicle of the superior pole. We have come up with three distinct types of superior thyroid pole anatomical structure that may be predictive of the risk for both hemorrhage and nerve injury.
CONCLUSIONS: Superior pole classification may serve as a guiding tool during thyroid surgery in order to reduce complications such as bleeding and injury to the external branch of the superior laryngeal nerve.
© 2015 Wiley Periodicals, Inc.

Entities:  

Keywords:  external branch of the superior laryngeal nerve; superior pole; superior thyroid artery; thyroidectomy

Mesh:

Year:  2015        PMID: 26186660      PMCID: PMC4982374          DOI: 10.1002/jso.23950

Source DB:  PubMed          Journal:  J Surg Oncol        ISSN: 0022-4790            Impact factor:   3.454


  5 in total

Review 1.  Anatomical and surgical considerations of the external branch of the superior laryngeal nerve: a systematic review.

Authors:  R P Morton; P Whitfield; S Al-Ali
Journal:  Clin Otolaryngol       Date:  2006-10       Impact factor: 2.597

2.  Relation of the external branch of the superior laryngeal nerve to the superior pole of the thyroid gland: an anatomical study.

Authors:  D Naidoo; J M Boon; C J Mieny; P J Becker; A-N van Schoor
Journal:  Clin Anat       Date:  2007-07       Impact factor: 2.414

Review 3.  Surgical anatomy of the external branch of the superior laryngeal nerve and its clinical significance in head and neck surgery.

Authors:  Xenophon Kochilas; Athanasios Bibas; John Xenellis; Sofia Anagnostopoulou
Journal:  Clin Anat       Date:  2008-03       Impact factor: 2.414

4.  Risk factors target in patients with post-thyroidectomy bleeding.

Authors:  Endong Chen; Yefeng Cai; Quan Li; Pu Cheng; Chunjue Ni; Langping Jin; Qianqing Ji; Xiaohua Zhang; Chun Jin
Journal:  Int J Clin Exp Med       Date:  2014-07-15

5.  Risk factors for hematoma after thyroidectomy: results from the nationwide inpatient sample.

Authors:  Anna Weiss; Katherine C Lee; Kevin T Brumund; David C Chang; Michael Bouvet
Journal:  Surgery       Date:  2014-03-14       Impact factor: 3.982

  5 in total

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