Page C, Cuvelier P, Biet A, Boute P, Laude M, Strunski V
Department of Anatomy, School of Medicine, Jules Verne University of Picardie, Amiens, France.
J Laryngol Otol. 2009 Jul;123(7):768-71. doi: 10.1017/S0022215108004003. Epub 2008 Nov 12.
To highlight a poorly known anatomical variation of the lateral lobe of the thyroid gland, which can be useful in identifying the recurrent laryngeal nerve during thyroid surgery.
We performed a three-year prospective study of 79 thyroid surgery patients. Great attention was paid to anatomical variations of the thyroid gland (i.e. the presence or absence of a distinct tubercle of Zuckerkandl), the recurrent laryngeal nerve and the location of the parathyroid glands.
A total of 71 right lobectomies and 74 left lobectomies were performed. Five tubercles of Zuckerkandl were identified (7.04 per cent of cases) and were useful in detecting the recurrent laryngeal nerve (but only on the right side).
The tubercle of Zuckerkandl is a poorly known and variable anatomical feature of the thyroid gland which may not, in fact, be so rare. It arises for embryological reasons, and it can be a reliable anatomical landmark for identifying the recurrent laryngeal nerve during thyroid surgery. It should be included in the Nomina Anatomica as the 'processus posterior glandulae thyroideae' described by Zuckerkandl.
强调一种鲜为人知的甲状腺侧叶解剖变异，这在甲状腺手术中识别喉返神经时可能有用。
我们对79例甲状腺手术患者进行了为期三年的前瞻性研究。重点关注甲状腺的解剖变异（即祖克坎德尔结节是否存在）、喉返神经以及甲状旁腺的位置。
共进行了71例右侧叶切除术和74例左侧叶切除术。发现了5个祖克坎德尔结节（占病例的7.04%），它们在检测喉返神经时有用（但仅在右侧）。
祖克坎德尔结节是甲状腺鲜为人知且多变的解剖特征，实际上可能并不那么罕见。它是由胚胎学原因产生的，在甲状腺手术中它可以作为识别喉返神经的可靠解剖标志。它应作为祖克坎德尔所描述的“甲状腺后突”被纳入《解剖学名词》。
