Zuckerkandl's tubercle and its relationship to the recurrent laryngeal nerve: A cadaveric dissection and meta-analysis

被引：9

作者：

Henry, Brandon Michael ^{[1
,2
]}

Sanna, Beatrice ^{[3
]}

Vikse, Jens ^{[1
,4
]}

Graves, Matthew J. ^{[1
,2
]}

Spulber, Alexandru ^{[2
]}

Witkowski, Cecylia ^{[2
]}

Tomaszewska, Iwona M. ^{[5
]}

Tubbs, R. Shane ^{[6
]}

Tomaszewski, Krzysztof A. ^{[1
,2
]}

机构：

[1] Int Evidence Based Anat Working Grp, 12 Kopernika St, PL-31034 Krakow, Poland

[2] Jagiellonian Univ, Med Coll, Dept Anat, 12 Kopernika St, PL-31034 Krakow, Poland

[3] Univ Cagliari, Fac Med & Surg, SS 554, I-09042 Sardinia, CA, Italy

[4] Stavanger Univ Hosp, Div Med, Gerd Ragna Bloch Thorsens Gate 8, N-4011 Stavanger, Norway

[5] Jagiellonian Univ, Med Coll, Dept Med Educ, 16 Sw Lazarza St, PL-31530 Krakow, Poland

[6] Seattle Sci Fdn, 550 17th Ave,James Tower,Suite 600, Seattle, WA 28122 USA

来源：

AURIS NASUS LARYNX | 2017年 / 44卷 / 06期

关键词：

Anatomy; Meta-analysis; Recurrent laryngeal nerve; Thyroidectomy; Zuckerkandl's tubercle; THYROID-SURGERY; IMPORTANT LANDMARK; ANATOMY; ARTERY;

D O I：

10.1016/j.anl.2017.03.013

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective: Zuckerkandl's tubercle (ZT), when present, is an anatomical landmark by which surrounding structures such as the recurrent laryngeal nerve (RLN) can be identified intraoperatively. This study aimed to investigate the prevalence and anatomical characteristics of Zuckerkandl's tubercle by combining cadaveric dissection with a meta:analysis. Methods: Through October 2016, an extensive search of PubMed, CNKI, ScienceDirect, EMBASE, BIOSIS, SciELO, and Web of Science was completed. Extracted data, along with the findings from our cadaveric dissections, were pooled into a meta-analysis to assess the prevalence and size of ZT and its relationship to the RLN. Results: The pooled prevalence estimate of a ZT was 70.2% in the general population, 65.0% of which were considered Grade 0 tubercles (<1.0 cm) and 35.0% Grade 1 (>1.0 cm). The RLN ran posteromedially to the ZT in 82.7% of cases, laterally to it in 8.7%, and on top of it in 8.6% of hemilarynges. Conclusion: RLN palsy is a common postoperative complication and cause for litigation following neck surgery. The ZT is a common component of the thyroid gland and with proper knowledge, surgeons can use it to reliably and quickly identify the RLN during operative procedures. (C) 2017 Elsevier B.V. All rights reserved.

引用

页码：639 / 647

页数：9

共 44 条

[31] Thyroid Tubercle of Zuckerkandl Is More Consistently Present and Larger on the Right: A Prospective Series [J].

Mehanna, Rania ;

Murphy, Matthew S. ;

Sheahan, Patrick .

EUROPEAN THYROID JOURNAL, 2014, 3 (01) :38-42

[32]

Mehmood Z, 2015, JCPSP-J COLL PHYSICI, V25, P495, DOI 07.2015/JCPSP.495497

[33]

Moher D, 2015, SYST REV-LONDON, V4, DOI [10.1186/2046-4053-4-1, 10.1136/bmj.i4086, 10.1016/j.ijsu.2010.07.299, 10.1371/journal.pmed.1000097, 10.1136/bmj.b2700, 10.1136/bmj.b2535, 10.1016/j.ijsu.2010.02.007]

[34] German Association of Endocrine Surgeons practice guidelines for the surgical treatment of benign thyroid disease [J].