Separate thyrothymic thyroid remnant; clinically crucial anatomic variation

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dc.contributor.authorGurleyik, Emin
dc.contributor.authorGurleyik, Gunay
dc.date.accessioned2021-12-01T18:48:39Z
dc.date.available2021-12-01T18:48:39Z
dc.date.issued2020
dc.department[Belirlenecek]en_US
dc.description.abstractPurpose: The anatomical variations of the thyroid gland including separate thyroidal remnant at the thyrothymic area are of significance during thyroid surgery for total thyroidectomy, and for recurrent goitre. In the present study, we aimed to detect the separate rests of thyroidal tissue in the thyrothymic region. Methods: The thyrothymic region was explored for identification, dissection, and excision of separate thyroidal remnants in 134 patients who underwent primary thyroid surgery. In this series, we studied the incidence and anatomical features of the thyrothymic remnant and its relation with other embryologic remnants. Results: Overall, 222 sides of the thyroid were explored in this study. An entirely separate thyrothymic remnant of the thyroid was identified and excised in 8 of 134 patients (6%). Mean size of removed remnants was 36.4 mm (range, 29-45 mm) in diameter. The incidences of pyramidal lobe (PL) and Zuckerkandl's tubercle (ZTI were 71.6% and 59.7%, respectively. The thyrothymic remnant coexisted with PLs in 4 patients. Four patients had all 3 embryologic remnants: thyrothymic remnant, PLs, and ZTs. Conclusion: An entirely separate thyroidal remnant at the thyrothymic area is not a rare variation. The considerably large size of a remnant may threaten the completeness of thyroidectomy and may result in recurrence if it is left behind after thyroid surgery. Awareness, identification, and excision of the separate remnant at the thyrothymic area and the other embryologic remnants are critical for ensuring completeness of thyroidectomy and preventing recurrences.en_US
dc.identifier.doi10.4174/astr.2020.98.3.111
dc.identifier.endpage115en_US
dc.identifier.issn2288-6575
dc.identifier.issn2288-6796
dc.identifier.issue3en_US
dc.identifier.pmid32158730en_US
dc.identifier.scopus2-s2.0-85082195215en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage111en_US
dc.identifier.urihttps://doi.org/10.4174/astr.2020.98.3.111
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10578
dc.identifier.volume98en_US
dc.identifier.wosWOS:000518777100001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherKorean Surgical Societyen_US
dc.relation.ispartofAnnals Of Surgical Treatment And Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmbryologic remnanten_US
dc.subjectPyramidal lobeen_US
dc.subjectThyroidectomyen_US
dc.subjectZuckerkandl's tubercleen_US
dc.subjectGoiteren_US
dc.titleSeparate thyrothymic thyroid remnant; clinically crucial anatomic variationen_US
dc.typeArticleen_US

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