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Surgical anatomy of the thyroid and parathyroid glands.甲状腺和甲状旁腺的外科解剖学
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2
Anatomical variations of the superior thyroid and superior laryngeal arteries.甲状腺上动脉和喉上动脉的解剖变异。
Head Neck. 2009 Aug;31(8):1078-85. doi: 10.1002/hed.21077.
3
Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection.甲状腺上动脉的临床相关变异:颈部手术清扫的解剖学指南
Surg Radiol Anat. 2009 Mar;31(3):151-9. doi: 10.1007/s00276-008-0405-7. Epub 2008 Aug 27.
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Transarterial embolization of acute external carotid blowout syndrome with profuse oronasal bleeding by N-butyl-cyanoacrylate.使用氰基丙烯酸正丁酯对伴有大量口鼻出血的急性颈外动脉破裂综合征进行经动脉栓塞术。
Am J Emerg Med. 2006 Oct;24(6):702-8. doi: 10.1016/j.ajem.2006.03.007.
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Branching patterns of the arterial branches supplying the middle vascular pedicle of the sternocleidomastoid muscle: a topographic anatomical study with surgical applications for the use of pedicles osteomuscular flaps.供应胸锁乳突肌中间血管蒂的动脉分支的分支模式:一项关于带蒂骨肌瓣手术应用的局部解剖学研究
Surg Radiol Anat. 2006 Mar;28(1):7-12. doi: 10.1007/s00276-005-0053-0. Epub 2005 Dec 20.
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Surgical anatomy of the cervical carotid artery for carotid endarterectomy.用于颈动脉内膜切除术的颈总动脉手术解剖学
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A meta-analysis of superior thyroid artery variations in different human groups and their clinical implications.
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Variations of the great arteries in the carotid triangle.颈动脉三角内大动脉的变异
Otolaryngol Head Neck Surg. 2000 Apr;122(4):590-1. doi: 10.1067/mhn.2000.97982.
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Anatomy of microvascular anastomosis in the neck.颈部微血管吻合术的解剖学
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Surgical embryology and anatomy of the thyroid and parathyroid glands.甲状腺和甲状旁腺的手术胚胎学与解剖学
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甲状腺上动脉的局部解剖评估——外科医生必须精通的领域

Topographic Evaluation of Superior Thyroid Artery-A Terrain to be Well Versed for Surgeon's Knife.

作者信息

Anand Anshika, Metgudmath Rajendra Basayya, Belaldavar Basavaraj P

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5994-6000. doi: 10.1007/s12070-021-02643-4. Epub 2021 May 27.

DOI:10.1007/s12070-021-02643-4
PMID:36742833
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9895351/
Abstract

Observing the origin, varied branching configurations of superior thyroid artery (STA) and evaluating morphometric details with its surrounding relations was aimed at in this cadaveric neck dissection study to avoid surgical mishaps and its repercussions. This observational study was conducted on 40 fresh frozen embalmed and colored latex infused cadavers in the Department of Otorhinolaryngology and Head and Neck Surgery in collaboration with Department of Anatomy of our institute, which involved systematic evaluative dissection of both sides of neck especially focusing on superior thyroid artery, its branching variations and morphometric details with its surrounding relations. Details were measured using digital caliper. The collected data was statistically analyzed by applying chi-square test and significance was set at 5% level ( < 0.05). The analysis revealed the location of the origin of the superior thyroid artery of cadavers from carotid bifurcation and above it in 40% and from above the level of superior border of thyroid cartilage in 40% of cases. The distribution patterns of the superior thyroid artery were classified into three types depending on the branching pattern typical and variant glandular branching patterns were observed in 85% and 15% of the specimens respectively. A sound knowledge of the regional anatomy and its possible variations helps the surgeon in isolating and preserving the vital structures and avoid iatrogenic complications.

摘要

在这项尸体颈部解剖研究中,旨在观察甲状腺上动脉(STA)的起源、不同的分支形态,并评估其与周围结构的形态学细节,以避免手术失误及其后果。本观察性研究是在我院耳鼻咽喉头颈外科与解剖学系合作下,对40具新鲜冷冻、经防腐处理并注入彩色乳胶的尸体进行的,其中包括对颈部两侧进行系统的评估性解剖,尤其关注甲状腺上动脉、其分支变异以及与周围结构的形态学细节。使用数字卡尺测量细节。收集的数据采用卡方检验进行统计学分析,显著性水平设定为5%(<0.05)。分析显示,40%的尸体甲状腺上动脉起源于颈动脉分叉处及其上方,40%的病例起源于甲状软骨上缘水平以上。根据分支模式,甲状腺上动脉的分布模式分为三种类型,分别在85%和15%的标本中观察到典型和变异的腺性分支模式。熟悉区域解剖及其可能的变异有助于外科医生分离和保留重要结构,避免医源性并发症。