Gray S W, Skandalakis J E, Akin J T
Am Surg. 1976 Sep;42(9):621-8.
The surgeon planning a thyroidectomy must be prepared to find variations in three important structures in the neck. He must be prepared to find ectopic thyroid nodules above, below or lateral to the normally located thyroid gland. Any unattached nodule should be considered malignant until proved otherwise. He must identify and preserve parathyroid glands that may not lie in the typical location. He must be prepared to encounter recurrent laryngeal nerves that do not recur. The surgeon who remembers the embryology of the structures in the neck may occasionally be astonished, but never surprised.
计划进行甲状腺切除术的外科医生必须做好准备，以应对颈部三个重要结构的变异情况。他必须做好准备，去发现位于正常位置甲状腺上方、下方或外侧的异位甲状腺结节。在证明其并非恶性之前，任何游离的结节都应被视为恶性。他必须识别并保留可能并不位于典型位置的甲状旁腺。他必须做好准备，应对不发生折返的喉返神经。记住颈部这些结构胚胎学知识的外科医生，偶尔可能会感到惊讶，但绝不会感到意外。
