Zuckerkandl Tubercle: An important landmark in thyroid surgery. | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2015]

Author(s):

1. Zahid Mehmood: Department of Surgery, Ward 3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

2. Usman Khan: Department of Surgery, Ward 3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

3. Iram Bokhari: Department of Surgery, Ward 3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

4. Adeel Hussain: Department of Surgery, Ward 3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

5. Anis Subhan: Department of Surgery, Ward 3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

6. Mehvish Nazeer: Department of Surgery, Ward 3, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

Abstract:

Objective: To find out the frequency of Zuckerkandl Tubercle (ZT) and the position of recurrent laryngeal nerve with reference to ZK. Study Design: Cross-sectional observational study. Place and Duration of Study: Surgical Ward-3, Jinnah Postgraduate Medical Centre (JPMC), Karachi, from June 2010 to August 2011. Methodology: Patients having goiter, aged between 12 - 60 years were admitted through OPD and operated after informed written consent. After admission, they underwent surgery. ZTand recurrent laryngeal nerve position i.e. whether medial, lateral or posterior to ZTwas identified during surgery. Data was collected on pre-designed proforma and analysed on SPSS version 15 for descriptive statistics. Results: Out of the 84 patients ZTwas found in 52 (61.90%) patients. Nineteen patients had grade-I (less than 0.5 cm), 22 (42.3%) had grade-II (0.5 - 1 cm) and 11 (21.1%) had grade-III (more than 1 cm) ZT. During surgery, 33 (63.4%) patients had recurrent laryngeal nerve medial to ZT, 15 (28.8%) patients had lateral and in 4 (7.6%) patients recurrent laryngeal nerve was engraved posteriorly. Conclusion: Zuckerkandl tubercle was found in about 62% cases; recurrent laryngeal nerve was located pre-dominantly medial to ZT.

Page(s): 495-497

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 25, Issue: 7, Year: 2015

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