Proposal for anatomical classification of the superior pole in thyroid surgery Journal Article


Authors: Mizrachi, A.; Swartzwelder, C. E.; Shaha, A. R.
Article Title: Proposal for anatomical classification of the superior pole in thyroid surgery
Abstract: Objective To propose a distinct anatomical classification for the superior thyroid pole that may serve as a surgical landmark and could help reduce complications in thyroid surgery. Materials and Methods A comprehensive anatomical study based on existing literature and surgical observations. Results The proposed superior pole classification is based on two parameters that closely interact: one is the shape of the superior pole and the other is the structure of the vascular pedicle of the superior pole. We have come up with three distinct types of superior thyroid pole anatomical structure that may be predictive of the risk for both hemorrhage and nerve injury. Conclusions Superior pole classification may serve as a guiding tool during thyroid surgery in order to reduce complications such as bleeding and injury to the external branch of the superior laryngeal nerve. J. Surg. Oncol. 2015 111:15-17. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.
Keywords: risk factor; nerve injury; thyroidectomy; postoperative hemorrhage; thyroid surgery; anatomical variation; vascular pedicle; anatomical concepts; superior laryngeal nerve; human; priority journal; article; external branch of the superior laryngeal nerve; superior pole; superior thyroid artery
Journal Title: Journal of Surgical Oncology
Volume: 112
Issue: 1
ISSN: 0022-4790
Publisher: Wiley Blackwell  
Date Published: 2015-07-01
Start Page: 15
End Page: 17
Language: English
DOI: 10.1002/jso.23950
PROVIDER: scopus
PUBMED: 26186660
PMCID: PMC4982374
DOI/URL:
Notes: Export Date: 2 September 2015 -- Source: Scopus
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  1. Ashok R Shaha
    697 Shaha