Incidence and morphology of the zuckerkandl's tubercle: An anatomic dissection study

Bülent Yalçın; Süleyman Tağıl; Necdet Kocabıyık; Hasan Ozan

doi:10.17343/sdutfd.29652

Incidence and morphology of the zuckerkandl's tubercle: An anatomic dissection study

Abstract

SüleymanDemirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2006 Haziran; 13(2) Incidence and morphology of the zuckerkandl's tubercle: An anatomic dissection study Bülent Yalçın, Süleyman Murat Tağıl, Necdet Kocabıyık, Hasan Ozan Özet Zuckerkandl tüberkülünün insidansi ve morfolojisi: anatomik diseksiyon çalişmasi Çalışmamızda Zuckerkandl tüberkülünün insidansı ve morfolojisi araştırıldı. Yaşları 40 ile 89 arasında değişen 24'ü erkek 16'sı kadın 40 kadavranın (80 taraf) tiroid bezleri diseke edildi. 9 tarafta (%11,25) çıplak gözle farkedilemeyen tüberkül (grade 0), 16 tarafta (%20) grade 1 tüberkül gözlendi. 45 tarafta (%56,25) ise grade 2 tüberkül gözlendi. Bu tüberküller dairesel (bezelye şekilinde) ve üçgen şekilli olarak tanımlandı. Tüberküllerin çoğunun tiroid lobunun posterior'unda, 3 tarafta ise posterolateral'inde yerleştiği gözlendi. 10 tarafta (%12,5) grade 3 tüberkül gözlendi. Bu tüberküller de üçgen (okbaşı şekilinde) ve dikdörtgen şekilli olarak tanımlandı. Bu tüberküllerin genellikle tiroid lobunun lateralinde ve trachea ile oesophagus'un arasında yerleştikleri gözlendi. Sadece 2 tarafta retroösofageal yerleşimli tüberküle rastlanıldı. Grade 2 ve 3 tüberküle tarafların %68,75'inde rastlanıldı. Bu tüberküllerin genellikle tiroid lobunun posterior'unda yerleştiği gözlenmekteyken birkaç tanesinin de posterolateralde yerleştiği tespit edildi. Çalışmamızda Zuckerkandl tüberkülünün yerleşimi ve morfolojisinin anlaşılabilmesi için bulgular yüksek çözünürlüklü fotoğraflar ile ortaya konuldu. Anahtar kelimeler: Tiroid bezi – Zuckerkandl tüberkülü – nervus laryngeus inferior – bası semptomları - ösofagus Abstract Incidence and morphology of the zuckerkandl's tubercle: An anatomic dissection study The purpose of this study was to investigate incidence and morphology of the Zuckerkandl's tubercle. Forty specimens (80 sides) were examined for this project, including 24 males and 16 female Turkish cadavers between the ages of 40 and 89 years at death. Unnoticeable tubercle (grade 0) was observed in 9 sides (11.25%), while grade 1 was found in 16 sides (20%). Grade 2 was observed in 45 sides (56.25%). Its shape was circular, similar to a pea or triangular. The tubercle extended postero-lateral to the thyroid lobe in 3 sides, while posterior to it in most sides. Grade 3 was found in 10 sides (12.5%). Its shape was also triangular, like a large arrowhead, or quadrangular. The grade 3 tubercle was generally located at lateral of the thyroid gland and between the trachea and esophagus. Retro-esophageal location was found only in two sides. We found grade 2 and 3 Zuckerkandl's tubercle in 68.75% sides of 40 cadavers. They were generally located posterior to the thyroid lobe, while a few postero-lateral. To be understood the position and morphology of the Zuckerkandl's tubercle, we have documented our findings in the form of high-resolution photographs. Key words: thyroid gland - Zuckerkand's tubercle – inferior laryngeal nerve – impression symptom – esophagus

Keywords

tiroid bezi Zuckerkandl tüberkülü nervus laryngeus inferior basý semptomlarý ösofagus

References

Gauger PG, Delbridge LW, Thompson NW, Crummer P, Reeve TS. Incidence and importance of the tubercle of Zuckerkandl in thyroid surgery. Eur J Surg 2001; 167: 249-254
Zuckerkandl E..Nebst Bemerkangen uber die Epithelkorperchen des Menschen. Anat Hefte 1902; LXI: 61
Pelizzo MR, Toniato A, Gemo G. Zuckerkandls tubercle: an arrow pointing to the recurrent laryngeal nerve (constant anatomical landmark). J Am Coll Surg 1998; 187: 333-336
Hisham AN and Aina EN. Zuckerkandls tubercle of the thyroid gland in association with pressure symptoms: A coincidence or consequence? Aust NZJ Surg 2000; 70: 251-253
Mirilas P, Skandalakis JE. Zuckerkandls Tubercle. Hannibal ad Portas. J Am Coll Surg 2003; 196: 796-801

Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Bülent Yalçın This is me

Süleyman Tağıl This is me

Necdet Kocabıyık This is me

Hasan Ozan This is me

Publication Date

April 21, 2009

Submission Date

April 20, 2009

Acceptance Date

-

Published in Issue

Year 2006 Volume: 13 Number: 2

DOI

https://doi.org/10.17343/sdutfd.29652

IZ

https://izlik.org/JA73LN72DA

Cite

RIS / Bibtex

APA

Yalçın, B., Tağıl, S., Kocabıyık, N., & Ozan, H. (2009). Incidence and morphology of the zuckerkandl’s tubercle: An anatomic dissection study. Medical Journal of Süleyman Demirel University, 13(2), 1-4. https://doi.org/10.17343/sdutfd.29652

AMA

1.Yalçın B, Tağıl S, Kocabıyık N, Ozan H. Incidence and morphology of the zuckerkandl’s tubercle: An anatomic dissection study. Med J SDU. 2009;13(2):1-4. doi:10.17343/sdutfd.29652

Chicago

Yalçın, Bülent, Süleyman Tağıl, Necdet Kocabıyık, and Hasan Ozan. 2009. “Incidence and Morphology of the Zuckerkandl’s Tubercle: An Anatomic Dissection Study”. Medical Journal of Süleyman Demirel University 13 (2): 1-4. https://doi.org/10.17343/sdutfd.29652.

EndNote

Yalçın B, Tağıl S, Kocabıyık N, Ozan H (April 1, 2009) Incidence and morphology of the zuckerkandl’s tubercle: An anatomic dissection study. Medical Journal of Süleyman Demirel University 13 2 1–4.

IEEE

[1]B. Yalçın, S. Tağıl, N. Kocabıyık, and H. Ozan, “Incidence and morphology of the zuckerkandl’s tubercle: An anatomic dissection study”, Med J SDU, vol. 13, no. 2, pp. 1–4, Apr. 2009, doi: 10.17343/sdutfd.29652.

ISNAD

Yalçın, Bülent - Tağıl, Süleyman - Kocabıyık, Necdet - Ozan, Hasan. “Incidence and Morphology of the Zuckerkandl’s Tubercle: An Anatomic Dissection Study”. Medical Journal of Süleyman Demirel University 13/2 (April 1, 2009): 1-4. https://doi.org/10.17343/sdutfd.29652.

JAMA

1.Yalçın B, Tağıl S, Kocabıyık N, Ozan H. Incidence and morphology of the zuckerkandl’s tubercle: An anatomic dissection study. Med J SDU. 2009;13:1–4.

MLA

Yalçın, Bülent, et al. “Incidence and Morphology of the Zuckerkandl’s Tubercle: An Anatomic Dissection Study”. Medical Journal of Süleyman Demirel University, vol. 13, no. 2, Apr. 2009, pp. 1-4, doi:10.17343/sdutfd.29652.

Vancouver

1.Bülent Yalçın, Süleyman Tağıl, Necdet Kocabıyık, Hasan Ozan. Incidence and morphology of the zuckerkandl’s tubercle: An anatomic dissection study. Med J SDU. 2009 Apr. 1;13(2):1-4. doi:10.17343/sdutfd.29652