External laryngeal nerve landmarks revisited

Head & Neck ◽  
2018 ◽  
Vol 40 (9) ◽  
pp. 1926-1933
Author(s):  
Consuelo Ortega ◽  
Eva Maranillo ◽  
Steve McHanwell ◽  
Jose Sañudo ◽  
Teresa Vázquez-Osorio
2018 ◽  
Vol 17 (4) ◽  
pp. 290-295 ◽  
Author(s):  
Ranjith Sreedharan ◽  
Lalu Krishna ◽  
Ashwija Shetty

Abstract Background The major arterial supply to the thyroid gland is from the superior and inferior thyroid arteries, arising from the external carotid artery and the thyrocervical trunk respectively. The external laryngeal nerve runs in close proximity to the origin of the superior thyroid artery in relation to the thyroid gland. The superior thyroid artery is clinically important in head and neck surgeries. Objectives To locate the origin of the superior thyroid artery, because wide variability is reported. To provide knowledge of possible variations in its origin, because it is important for surgical procedures in the neck. Methods The origin of the superior thyroid artery was studied by dissecting sixty adult human hemineck specimens from donated cadavers in a Department of Anatomy. Results The highest incidence observed was origin of the superior thyroid artery from the external carotid artery (88.33%), whereas origin from the common carotid bifurcation only occurred in 8.33%. However, in 3.33% of cases, the superior thyroid artery originated from the common carotid artery and in a single case, the external laryngeal nerve did not cross the stem of the superior thyroid artery at all, but ran ventral and parallel to the artery. Conclusions It is important to rule out anomalous origin of superior thyroid artery and verify its relationship to the external laryngeal nerve prior to ligation of the artery in thyroid surgeries, in order to prevent iatrogenic injuries. Moreover, because anomalous origins of the superior thyroid artery are only anatomic variants, thorough knowledge of these is decisive for head and neck surgeries.


2014 ◽  
Vol 90 (4) ◽  
pp. 209-215 ◽  
Author(s):  
Wei-Tian Lu ◽  
Shan-Quan Sun ◽  
Juan Huang ◽  
Yuan Zhong ◽  
Jin Xu ◽  
...  

2012 ◽  
Vol 8 (4) ◽  
pp. 429-431 ◽  
Author(s):  
Vandana Mehta ◽  
Rajesh K. Suri ◽  
Jyoti Arora ◽  
Gayatri Rath ◽  
Srijit Das

The variations in the pattern of distribution of superior thyroid artery assume paramount importance for neck surgeons, in view of its vital topographical relationship to the external laryngeal nerve. In this study, we report an unusual variation in the arterial supply of the thyroid gland, which was detected during a routine dissection of an adult male cadaver. The right superior thyroid artery was absent whereas the left superior thyroid artery took origin from the left common carotid artery and showed a dominant pattern of distribution supplying the superior aspect of both the left and right lobes of the thyroid gland. It exhibited a usual relationship with the left external laryngeal nerve. The inferior thyroid arteries did not show any unusual distribution. Knowledge of such arterial variations related to the thyroid gland is immensely helpful for surgeons in order to put ligature on anomalous artery and to avoid damage to vital structures in this area, such as the external laryngeal nerve.http://dx.doi.org/10.3126/kumj.v8i4.6246 Kathmandu Univ Med J 2010;8(4):429-31 


2004 ◽  
Vol 26 (3) ◽  
pp. 182-185 ◽  
Author(s):  
D. Legars ◽  
P. Foulon ◽  
V. Strunski ◽  
C. Page ◽  
M. Laude

2003 ◽  
Vol 113 (3) ◽  
pp. 525-529 ◽  
Author(s):  
Eva Maranillo ◽  
Xavier Le??n ◽  
Miquel Quer ◽  
C??sar Or??s ◽  
Jose Ram??n Sa??udo

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