Anand Anshika, Metgudmath Rajendra Basayya, Belaldavar Basavaraj P
Department of Otorhinolaryngology, Head and Neck Surgery, Jawaharlal Nehru Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5994-6000. doi: 10.1007/s12070-021-02643-4. Epub 2021 May 27.
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.
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。