hrcak mascot   Srce   HID

Izvorni znanstveni članak

INCIDENCE AND SURGICAL IMPORTANCE OF PYRAMIDAL LOBE AND TUBERCLE OF THE THYROID GLAND: A PROSPECTIVE STUDY

Marijan Kovačić
Ivan Kovačić

Puni tekst: hrvatski, pdf (597 KB) str. 0-0 preuzimanja: 125* citiraj
APA 6th Edition
Kovačić, M. i Kovačić, I. (2015). UČESTALOST I KIRURŠKA VAŽNOST PIRAMIDALNOG REŽNJA I TUBERKULA ŠTITNE ŽLIJEZDE: PROSPEKTIVNA STUDIJA. Liječnički vjesnik, 137 (11-12), 0-0. Preuzeto s https://hrcak.srce.hr/172739
MLA 8th Edition
Kovačić, Marijan i Ivan Kovačić. "UČESTALOST I KIRURŠKA VAŽNOST PIRAMIDALNOG REŽNJA I TUBERKULA ŠTITNE ŽLIJEZDE: PROSPEKTIVNA STUDIJA." Liječnički vjesnik, vol. 137, br. 11-12, 2015, str. 0-0. https://hrcak.srce.hr/172739. Citirano 18.10.2019.
Chicago 17th Edition
Kovačić, Marijan i Ivan Kovačić. "UČESTALOST I KIRURŠKA VAŽNOST PIRAMIDALNOG REŽNJA I TUBERKULA ŠTITNE ŽLIJEZDE: PROSPEKTIVNA STUDIJA." Liječnički vjesnik 137, br. 11-12 (2015): 0-0. https://hrcak.srce.hr/172739
Harvard
Kovačić, M., i Kovačić, I. (2015). 'UČESTALOST I KIRURŠKA VAŽNOST PIRAMIDALNOG REŽNJA I TUBERKULA ŠTITNE ŽLIJEZDE: PROSPEKTIVNA STUDIJA', Liječnički vjesnik, 137(11-12), str. 0-0. Preuzeto s: https://hrcak.srce.hr/172739 (Datum pristupa: 18.10.2019.)
Vancouver
Kovačić M, Kovačić I. UČESTALOST I KIRURŠKA VAŽNOST PIRAMIDALNOG REŽNJA I TUBERKULA ŠTITNE ŽLIJEZDE: PROSPEKTIVNA STUDIJA. Liječnički vjesnik [Internet]. 2015 [pristupljeno 18.10.2019.];137(11-12):0-0. Dostupno na: https://hrcak.srce.hr/172739
IEEE
M. Kovačić i I. Kovačić, "UČESTALOST I KIRURŠKA VAŽNOST PIRAMIDALNOG REŽNJA I TUBERKULA ŠTITNE ŽLIJEZDE: PROSPEKTIVNA STUDIJA", Liječnički vjesnik, vol.137, br. 11-12, str. 0-0, 2015. [Online]. Dostupno na: https://hrcak.srce.hr/172739. [Citirano: 18.10.2019.]

Sažetak
The pyramidal lobe and tubercles are common anatomic variations of the thyroid gland, and their frequency is highly represented. While pyramidal lobe requires additional seriousness in identifying and its removal, especially in ­patients with hyperthyroidism and thyroid cancer, the presence of tubercles is desirable. Tubercle is covered by recurrent laryngeal nerve and directs the surgeon in his search and besides this, serves to facilitate detection of the upper parathyroid glands. In this prospective study we analysed 342 patients who underwent total thyroidectomy in the period from January 2009 to March 2015. We looked at the incidence and anatomic characteristics of pyramidal lobe and tubercles of the thyroid gland. The pyramidal lobe was present in 52.3% of the patients with more frequent central and left placement. Bilateral tubercles were present in 14.9%, while position right-sided phenomenon was represented in 39.5% and 18.5% in lower left (64.3% patients). Their prevalence by gender showed no significant difference (p = 0.59; p = 0.2). Associated presence of pyramidal lobe and tubercles on one or both sides is highly represented in our group of patients (34%), also with no differences by gender (p = 0.29). Length of the pyramidal lobe ranged from 1.3 to 4.7 cm (average 2.3 cm), and the size of tubercles in 36% of patients was over 1 cm. Recurrent laryngeal nerve was only in 1.8% placed laterally of tubercles, and the upper parathyroid gland in 95.4% was located above tubercle. Considering that only 16.5% of our patients did not have any of these anatomical variations, their presence during surgery is the rule, not the exception.

Ključne riječi
Thyroid gland – anatomy and histology, surgery; Thyroidectomy; Recurrent laryngeal nerve – anatomy and histology; Prospective studies

Hrčak ID: 172739

URI
https://hrcak.srce.hr/172739

[hrvatski]

Posjeta: 199 *