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Erschienen in: Surgical and Radiologic Anatomy 1/2014

01.01.2014 | Original Article

Emerging patterns of the human superior thyroid artery and review of its clinical anatomy

verfasst von: Sophia Anagnostopoulou, Ioannis Mavridis

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 1/2014

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Abstract

Purpose

There is wide variability of the location of the superior thyroid artery (STA). Our purpose was to describe variations of the STA origin, with great respect to different anatomical patterns which could be observed in humans.

Methods

The material was 68 formalin-embalmed adult cadavers of both sexes (45–70-year-old). Methodologically, we dissected the neck region bilaterally and focused on studying the external carotid artery (ECA) branches, especially the STA emerging pattern. We also measured the distance of the STA origin from the common carotid artery (CCA) bifurcation (using the latter as a landmark).

Results

Based on our results we categorized the STA emerging pattern into three major types A, B and C according to its origin (which was CCA, ECA and CCA bifurcation, respectively). Regarding type B, we found that the left STA arises approximately 2 mm closer to the CCA bifurcation compared to the right STA (p < 0.05).

Conclusions

The STA is a carotid branch with variable origin, which can be CCA, ECA or CCA bifurcation. It is also an artery of great clinical importance in head and neck surgery. The present study provided data of the STA emerging patterns, as well as a review of its clinical anatomy.
Literatur
1.
Zurück zum Zitat Aggarwal NR, Krishnamoorthy T, Devasia B, Menon G, Chandrasekhar K (2006) Variant origin of superior thyroid artery, occipital artery and ascending pharyngeal artery from a common trunk from the cervical segment of internal carotid artery. Surg Radiol Anat 28(6):650–653PubMedCrossRef Aggarwal NR, Krishnamoorthy T, Devasia B, Menon G, Chandrasekhar K (2006) Variant origin of superior thyroid artery, occipital artery and ascending pharyngeal artery from a common trunk from the cervical segment of internal carotid artery. Surg Radiol Anat 28(6):650–653PubMedCrossRef
2.
Zurück zum Zitat Akyol MU, Koç C, Özcan M, Özdem C (1997) Superior thyroid artery arising from the common carotid artery. Otolaryngol Head Neck Surg 116(6 Pt 1):701PubMedCrossRef Akyol MU, Koç C, Özcan M, Özdem C (1997) Superior thyroid artery arising from the common carotid artery. Otolaryngol Head Neck Surg 116(6 Pt 1):701PubMedCrossRef
3.
Zurück zum Zitat Alagöz MS, Uysal AC, Tüccar E, Şensöz Ö (2005) How cranial could the sternocleidomastoid muscle be split? J Craniofac Surg 16(2):201–204PubMedCrossRef Alagöz MS, Uysal AC, Tüccar E, Şensöz Ö (2005) How cranial could the sternocleidomastoid muscle be split? J Craniofac Surg 16(2):201–204PubMedCrossRef
4.
Zurück zum Zitat Aygenc E, Selcuk A, Ozdem C (2002) Hypervascular parapharyngeal schwannoma: an unusual case. Auris Nasus Larynx 29(2):215–217PubMedCrossRef Aygenc E, Selcuk A, Ozdem C (2002) Hypervascular parapharyngeal schwannoma: an unusual case. Auris Nasus Larynx 29(2):215–217PubMedCrossRef
5.
Zurück zum Zitat Bellantone R, Boscherini M, Lombardi CP, Bossola M, Rubino F, De Crea C, Alesina P, Traini E, Cozza T, D’alatri L (2001) Is the identification of the external branch of the superior laryngeal nerve mandatory in thyroid operation? Results of a prospective randomized study. Surgery 130(6):1055–1059PubMedCrossRef Bellantone R, Boscherini M, Lombardi CP, Bossola M, Rubino F, De Crea C, Alesina P, Traini E, Cozza T, D’alatri L (2001) Is the identification of the external branch of the superior laryngeal nerve mandatory in thyroid operation? Results of a prospective randomized study. Surgery 130(6):1055–1059PubMedCrossRef
6.
Zurück zum Zitat Ernemann U, Herrmann C, Plontke S, Schafer J, Plasswilm L, Skalej M (2003) Pseudoaneurysm of the superior thyroid artery following radiotherapy for hypopharyngeal cancer. Ann Otol Rhinol Laryngol 112(2):188–190PubMed Ernemann U, Herrmann C, Plontke S, Schafer J, Plasswilm L, Skalej M (2003) Pseudoaneurysm of the superior thyroid artery following radiotherapy for hypopharyngeal cancer. Ann Otol Rhinol Laryngol 112(2):188–190PubMed
7.
Zurück zum Zitat Espalieu P, Cottier M, Relave M, Youvarlakis P, Cuilleret J (1986) Radio-anatomic study of the carotid axis with regard to the implantation of microsurgical vascular anastomoses. Surg Radiol Anat 8(4):257–263PubMedCrossRef Espalieu P, Cottier M, Relave M, Youvarlakis P, Cuilleret J (1986) Radio-anatomic study of the carotid axis with regard to the implantation of microsurgical vascular anastomoses. Surg Radiol Anat 8(4):257–263PubMedCrossRef
8.
Zurück zum Zitat Faller A, Schärer O (1947) Über die Variabilität der Arteriae thyreoidae. Acta Anat 4:119–122CrossRef Faller A, Schärer O (1947) Über die Variabilität der Arteriae thyreoidae. Acta Anat 4:119–122CrossRef
9.
Zurück zum Zitat Gluncic V, Petanjek Z, Marusic A, Gluncic I (2001) High bifurcation of common carotid artery, anomalous origin of ascending pharyngeal artery and anomalous branching pattern of external carotid artery. Surg Radiol Anat 23(2):123–125PubMedCrossRef Gluncic V, Petanjek Z, Marusic A, Gluncic I (2001) High bifurcation of common carotid artery, anomalous origin of ascending pharyngeal artery and anomalous branching pattern of external carotid artery. Surg Radiol Anat 23(2):123–125PubMedCrossRef
10.
Zurück zum Zitat Gürbüz J, Çavdar S, Özdoğmuş Ö (2001) Trifurcation of the left common carotid artery: a case report. Clin Anat 14(1):58–61PubMedCrossRef Gürbüz J, Çavdar S, Özdoğmuş Ö (2001) Trifurcation of the left common carotid artery: a case report. Clin Anat 14(1):58–61PubMedCrossRef
11.
Zurück zum Zitat Huang SM, Chow NH, Lee HL, Wu TJ (2003) The value of color flow Doppler ultrasonography of the superior thyroid artery in the surgical management of Graves disease. Arch Surg 138(2):146–151PubMedCrossRef Huang SM, Chow NH, Lee HL, Wu TJ (2003) The value of color flow Doppler ultrasonography of the superior thyroid artery in the surgical management of Graves disease. Arch Surg 138(2):146–151PubMedCrossRef
12.
Zurück zum Zitat Issing PR, Kempf HG, Lenarz T (1994) A clinically relevant variation of the superior thyroid artery. Laryngorhinootologie 73(10):536–537PubMedCrossRef Issing PR, Kempf HG, Lenarz T (1994) A clinically relevant variation of the superior thyroid artery. Laryngorhinootologie 73(10):536–537PubMedCrossRef
13.
Zurück zum Zitat Jeganath V, McElwaine JG, Stewart P (2001) Ruptured superior thyroid artery from central vein cannulation: treatment by coil embolization. Brit J Anaesth 87(2):302–305PubMedCrossRef Jeganath V, McElwaine JG, Stewart P (2001) Ruptured superior thyroid artery from central vein cannulation: treatment by coil embolization. Brit J Anaesth 87(2):302–305PubMedCrossRef
14.
15.
Zurück zum Zitat Jenkins MP, Aly S, Sarin S, Adiseshiah M (1997) Patch angioplasty following carotid endarterectomy using the ipsilateral superior thyroid artery. Eur J Vasc Endovasc Surg 14(1):60–62PubMedCrossRef Jenkins MP, Aly S, Sarin S, Adiseshiah M (1997) Patch angioplasty following carotid endarterectomy using the ipsilateral superior thyroid artery. Eur J Vasc Endovasc Surg 14(1):60–62PubMedCrossRef
16.
Zurück zum Zitat Kierner AC, Aigner M, Burian M (1998) The external branch of the superior laryngeal nerve: its topographical anatomy as related to surgery of the neck. Arch Otolaryngol Head Neck Surg 124(3):301–303PubMedCrossRef Kierner AC, Aigner M, Burian M (1998) The external branch of the superior laryngeal nerve: its topographical anatomy as related to surgery of the neck. Arch Otolaryngol Head Neck Surg 124(3):301–303PubMedCrossRef
17.
Zurück zum Zitat Kitagawa W (1993) Arterial supply of the thyroid gland in the human fetuses. Nihon Ika Daigaku Zasshi 60(3):140–155PubMed Kitagawa W (1993) Arterial supply of the thyroid gland in the human fetuses. Nihon Ika Daigaku Zasshi 60(3):140–155PubMed
18.
Zurück zum Zitat Kuntscher MV, Erdmann D, Boltze WH, Germann G (2003) Use of a free jejunal graft for oesophageal reconstruction following perforation after cervical spine surgery: case report and review of the literature. Spinal Cord 41(10):543–548PubMedCrossRef Kuntscher MV, Erdmann D, Boltze WH, Germann G (2003) Use of a free jejunal graft for oesophageal reconstruction following perforation after cervical spine surgery: case report and review of the literature. Spinal Cord 41(10):543–548PubMedCrossRef
19.
Zurück zum Zitat Lemaire V, Jacquemin G, Medot M, Fissette J (2001) Thyrolingual trunk arising from the common carotid artery: a case report. Surg Radiol Anat 23(2):135–137PubMedCrossRef Lemaire V, Jacquemin G, Medot M, Fissette J (2001) Thyrolingual trunk arising from the common carotid artery: a case report. Surg Radiol Anat 23(2):135–137PubMedCrossRef
20.
Zurück zum Zitat Lennquist S, Cahlin C, Smeds S (1987) The superior laryngeal nerve in thyroid surgery. Surgery 102(6):999–1008PubMed Lennquist S, Cahlin C, Smeds S (1987) The superior laryngeal nerve in thyroid surgery. Surgery 102(6):999–1008PubMed
21.
Zurück zum Zitat Lučev N, Bobinac D, Marić I, Drešćik I (2000) Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 122(4):590–591PubMed Lučev N, Bobinac D, Marić I, Drešćik I (2000) Variations of the great arteries in the carotid triangle. Otolaryngol Head Neck Surg 122(4):590–591PubMed
22.
Zurück zum Zitat Monfared A, Gorti G, Kim D (2002) Microsurgical anatomy of the laryngeal nerves as related to thyroid surgery. Laryngoscope 112(2):386–392PubMedCrossRef Monfared A, Gorti G, Kim D (2002) Microsurgical anatomy of the laryngeal nerves as related to thyroid surgery. Laryngoscope 112(2):386–392PubMedCrossRef
23.
Zurück zum Zitat Morita Y (1993) Selective thyroid angiography: techniques, diagnosis and indications. Hokkaido Igaku Zasshi 68(2):251–264PubMed Morita Y (1993) Selective thyroid angiography: techniques, diagnosis and indications. Hokkaido Igaku Zasshi 68(2):251–264PubMed
24.
Zurück zum Zitat Obadia JF, Brenot R, Becker F, Brachet A, Raoux MH, David M (1990) A “non-narrowing” patch using the superior thyroid artery in surgery of carotid arteries. Presse Med 19(24):1150–1151PubMed Obadia JF, Brenot R, Becker F, Brachet A, Raoux MH, David M (1990) A “non-narrowing” patch using the superior thyroid artery in surgery of carotid arteries. Presse Med 19(24):1150–1151PubMed
25.
Zurück zum Zitat Ozgur Z, Govsa F, Celik S, Ozgur T (2009) Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection. Surg Radiol Anat 31(3):151–159PubMedCrossRef Ozgur Z, Govsa F, Celik S, Ozgur T (2009) Clinically relevant variations of the superior thyroid artery: an anatomic guide for surgical neck dissection. Surg Radiol Anat 31(3):151–159PubMedCrossRef
26.
Zurück zum Zitat Pearl AW, Gannon PJ, Urken ML (1998) Anatomy and vascular perfusion territories of the superior thyroid artery in Macaca mulatta. Laryngoscope 108(7):1062–1065PubMedCrossRef Pearl AW, Gannon PJ, Urken ML (1998) Anatomy and vascular perfusion territories of the superior thyroid artery in Macaca mulatta. Laryngoscope 108(7):1062–1065PubMedCrossRef
27.
Zurück zum Zitat Perona F, Barile A, Oliveri M, Quadri P, Ferro C (1999) Superior thyroid artery lesion after US-guided chemical parathyroidectomy: angiographic diagnosis and treatment by embolization. Cardiovasc Intervent Radiol 22(3):249–250PubMedCrossRef Perona F, Barile A, Oliveri M, Quadri P, Ferro C (1999) Superior thyroid artery lesion after US-guided chemical parathyroidectomy: angiographic diagnosis and treatment by embolization. Cardiovasc Intervent Radiol 22(3):249–250PubMedCrossRef
28.
Zurück zum Zitat Poisel VS, Golth D (1974) Zur Variabilität der großen Arterien im Trigonum caroticum. Wien Med Wochenschr 124(15):229–232PubMed Poisel VS, Golth D (1974) Zur Variabilität der großen Arterien im Trigonum caroticum. Wien Med Wochenschr 124(15):229–232PubMed
29.
Zurück zum Zitat Poyraz M, Calguner E (2001) Bilateral investigation of the anatomical relationships of the external branch of the superior laryngeal nerve and superior thyroid artery, and also the recurrent laryngeal nerve and inferior thyroid artery. Okajimas Folia Anat Jpn 78(2–3):65–74PubMed Poyraz M, Calguner E (2001) Bilateral investigation of the anatomical relationships of the external branch of the superior laryngeal nerve and superior thyroid artery, and also the recurrent laryngeal nerve and inferior thyroid artery. Okajimas Folia Anat Jpn 78(2–3):65–74PubMed
30.
Zurück zum Zitat Rezek Z (2001) Arterial autograft reconstruction of the internal carotid artery after endarterectomy using the superior thyroid artery. Rozhl Chir 80(3):114–115PubMed Rezek Z (2001) Arterial autograft reconstruction of the internal carotid artery after endarterectomy using the superior thyroid artery. Rozhl Chir 80(3):114–115PubMed
31.
Zurück zum Zitat Salmeron J, Gannon PJ, Blackwell KE, Shaari CM, Urken ML (1998) Tracheal transplantation: superior and inferior artery perfusion territory. Laryngoscope 108(6):849–853PubMedCrossRef Salmeron J, Gannon PJ, Blackwell KE, Shaari CM, Urken ML (1998) Tracheal transplantation: superior and inferior artery perfusion territory. Laryngoscope 108(6):849–853PubMedCrossRef
32.
Zurück zum Zitat Sanders KW, Abreo F, Rivera E, Stucker FJ, Nathan CA (2001) Adiagnostic and therapeutic approach to paragangliomas of larynx. Arch Otolaryngol Head Neck Surg 127(5):565–569PubMedCrossRef Sanders KW, Abreo F, Rivera E, Stucker FJ, Nathan CA (2001) Adiagnostic and therapeutic approach to paragangliomas of larynx. Arch Otolaryngol Head Neck Surg 127(5):565–569PubMedCrossRef
33.
Zurück zum Zitat Smith SD, Benton RS (1978) A rare origin of the superior thyroid artery. Acta Anat 101(1):91–93PubMedCrossRef Smith SD, Benton RS (1978) A rare origin of the superior thyroid artery. Acta Anat 101(1):91–93PubMedCrossRef
34.
Zurück zum Zitat Snell RS (2004) Clinical Anatomy, 7th edn. Lippincott Williams & Wilkins, Philadelphia, p 737 Snell RS (2004) Clinical Anatomy, 7th edn. Lippincott Williams & Wilkins, Philadelphia, p 737
35.
Zurück zum Zitat Timmermann W, Hamelmann WH, Meyer T, Timm S, Schramm C, Hoppe F, Thiede A (2002) Identification and surgical anatomy of the external branch of the superior laryngeal nerve. Zentralbl Chir 127(5):425–428PubMedCrossRef Timmermann W, Hamelmann WH, Meyer T, Timm S, Schramm C, Hoppe F, Thiede A (2002) Identification and surgical anatomy of the external branch of the superior laryngeal nerve. Zentralbl Chir 127(5):425–428PubMedCrossRef
36.
Zurück zum Zitat Toni R, Della Casa C, Castorina S, Malaguti A, Mosca S, Roti E, Valenti G (2004) A meta-analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann Anat 186(3):255–262PubMedCrossRef Toni R, Della Casa C, Castorina S, Malaguti A, Mosca S, Roti E, Valenti G (2004) A meta-analysis of superior thyroid artery variations in different human groups and their clinical implications. Ann Anat 186(3):255–262PubMedCrossRef
37.
Zurück zum Zitat Toni R, Della Casa C, Mosca S, Malaguti A, Castorina S, Roti E (2003) Anthropological variations in the anatomy of the human thyroid arteries. Thyroid 13(2):183–192PubMedCrossRef Toni R, Della Casa C, Mosca S, Malaguti A, Castorina S, Roti E (2003) Anthropological variations in the anatomy of the human thyroid arteries. Thyroid 13(2):183–192PubMedCrossRef
38.
Zurück zum Zitat Varsamidis K, Varsamidou E, Mavropoulos G (1999) Color Doppler sonography in the detection of parathyroid adenomas. Head Neck 21(7):648–651PubMedCrossRef Varsamidis K, Varsamidou E, Mavropoulos G (1999) Color Doppler sonography in the detection of parathyroid adenomas. Head Neck 21(7):648–651PubMedCrossRef
39.
Zurück zum Zitat Vasović L, Arsić S, Vlajković S, Zdravković D (2004) Morphological aspect of the thyroid ima artery in human fetuses. Ital J Anat Embryol 109(4):189–197PubMed Vasović L, Arsić S, Vlajković S, Zdravković D (2004) Morphological aspect of the thyroid ima artery in human fetuses. Ital J Anat Embryol 109(4):189–197PubMed
40.
Zurück zum Zitat Weiglein AH (1996) A rare variant of thyroid gland vascularization. Surg Radiol Anat 18(3):233–235PubMedCrossRef Weiglein AH (1996) A rare variant of thyroid gland vascularization. Surg Radiol Anat 18(3):233–235PubMedCrossRef
41.
Zurück zum Zitat Won HS, Han SH, Oh CS, Chung IH (2011) Superior and middle thyroid arteries arising from the common carotid artery. Surg Radiol Anat 33(7):645–647PubMedCrossRef Won HS, Han SH, Oh CS, Chung IH (2011) Superior and middle thyroid arteries arising from the common carotid artery. Surg Radiol Anat 33(7):645–647PubMedCrossRef
42.
Zurück zum Zitat Wurm J, Gode U, Fucak A (2000) Ligature of the carotid arteries performed prophylactically as an emergency procedure in patients with malignant tumours of the head and neck. HNO 48(1):22–27PubMedCrossRef Wurm J, Gode U, Fucak A (2000) Ligature of the carotid arteries performed prophylactically as an emergency procedure in patients with malignant tumours of the head and neck. HNO 48(1):22–27PubMedCrossRef
43.
Zurück zum Zitat Xiao H, Zhuang W, Wang S, Yu B, Chen G, Zhou M, Wong NC (2002) Arterial embolization: a novel approach to thyroid ablative therapy for Graves’ disease. J Clin Endocrinol Metab 87(8):3583–3589PubMed Xiao H, Zhuang W, Wang S, Yu B, Chen G, Zhou M, Wong NC (2002) Arterial embolization: a novel approach to thyroid ablative therapy for Graves’ disease. J Clin Endocrinol Metab 87(8):3583–3589PubMed
44.
Zurück zum Zitat Yamasaki M (1989) On the A. thymica suprema, a provisionally named branch of the superior thyroid artery in human. Anat Anz 168(4):329–335PubMed Yamasaki M (1989) On the A. thymica suprema, a provisionally named branch of the superior thyroid artery in human. Anat Anz 168(4):329–335PubMed
45.
Zurück zum Zitat Yamasaki M (1989) Studies on the thyroid and thymic arteries of Japanese adults and fetuses. Anat Anz 169(3):213–221PubMed Yamasaki M (1989) Studies on the thyroid and thymic arteries of Japanese adults and fetuses. Anat Anz 169(3):213–221PubMed
46.
Zurück zum Zitat Yamasaki M (1993) Comparative anatomical studies on the thyroid and thymic arteries II. Polyprotodont marsupials. J Anat 183(Pt 2):359–366PubMed Yamasaki M (1993) Comparative anatomical studies on the thyroid and thymic arteries II. Polyprotodont marsupials. J Anat 183(Pt 2):359–366PubMed
47.
Zurück zum Zitat Zhao SZ, Xu XY, Collins MW, Stanton AV, Hughes AD, Thom SA (1999) Flow in carotid bifurcations: effect of the superior thyroid artery. Med Eng Phys 21(4):207–214PubMedCrossRef Zhao SZ, Xu XY, Collins MW, Stanton AV, Hughes AD, Thom SA (1999) Flow in carotid bifurcations: effect of the superior thyroid artery. Med Eng Phys 21(4):207–214PubMedCrossRef
48.
Zurück zum Zitat Ziółkowski M, Biegańska-Dembowska D, Kurlej W (1994) Variations in the number and in origin of the thyroid arteries. Folia Morphol (Warsz) 53(2):105–110 Ziółkowski M, Biegańska-Dembowska D, Kurlej W (1994) Variations in the number and in origin of the thyroid arteries. Folia Morphol (Warsz) 53(2):105–110
49.
Zurück zum Zitat Zur KB, Urken ML (2003) Vascularized hemitracheal autograft for laryngotracheal reconstruction: a new surgical technique based on the thyroid gland as a vascular carrier. Laryngoscope 113(9):1494–1498PubMedCrossRef Zur KB, Urken ML (2003) Vascularized hemitracheal autograft for laryngotracheal reconstruction: a new surgical technique based on the thyroid gland as a vascular carrier. Laryngoscope 113(9):1494–1498PubMedCrossRef
Metadaten
Titel
Emerging patterns of the human superior thyroid artery and review of its clinical anatomy
verfasst von
Sophia Anagnostopoulou
Ioannis Mavridis
Publikationsdatum
01.01.2014
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 1/2014
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-013-1149-6

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