Anatomy of the Thyroid Gland Flashcards
what is the proper name for the adam’s apple?
laryngeal prominence
thinnest part of the thyroid gland?
isthmus
name the 3 parts of the thyroid gland
2 lateral lobes
isthmus
where does the isthmus lie?
amterior to 2nd and 3rd cartilages of trachea
where do the lobes of the thyroid attach to?
lateral spects of thyroid and cricoid cartilage
what will a lump/enlarged area of the thyroid gland do when the patient swallows?
move up and down with the larynx
how many parathyroid glands are there?
4
where are the parathyroid glands located?
posterior surface of the thyroid’s lateral lo
where does the pyramidal lobe originate from?
left lateral lobe
where does the pyramidal lobe insert?
mainly thyroid cartilage but sometimes hyoid
in what structure does the thyroid gland begin its development?
tongue
how does the thyroid gland migrate?
goes inferiorly via thyroglossal duct to reach larynx
at what time does the thyroid gland reach the larynx?
7th week
what layer of tissue is the platsyma located in?
superficial fascia
is the platysma a skeletal or smooth muscle?
skeletal
what group of muscles does the platysma belong to?
muscles of facial expression
nerve supply to the platysma muscles?
facial nerve (CN 5)
name the most superficial fascial compartment
investing fascia
what fascial compartment contains the vertebrae?
deep fascia
what fascial compartment of the neck contains the postural neck muscles?
deep fascia
which 2 muscles are enclosed in the investing fascia?
sternocleomastoid
trapezius
what is enclosed in the carotid sheath?
vagus nerve
deep cervical lymph nodes
carotid arteries
internal jugular vein
what neck fascia encloses all the other neck fascial compartments?
investing fascia
what structures are enclosed within the pretracheal fascia?
oesophagus trachea thyroid gland strap muscles recurrent laryngeal nerve
is the pretracheal fascia located anteriorly or posteriorly?
anteriorly
what 2 fascias does the retropharyngeal space lie between?
pretracheal
deep
what muscles of the neck does CN11 innervate?
SCM
trapezius
what does the external jugular vein drain into?
subclavian vein
what fascia do the jugular veins run in?
superficial fascia
what does the anterior jugular vein drain into?
external jugular vein
what are the 2 heads of the sternocleomastoid muscle called?
sternal head
clavicular head
where does the sternal head of the SCM attach?
manubrium of sternum
where does the clavicular head of the SCM attach?
medial end of the clavicle
what do both heads of the SCM attach to?
mastoid process of the temporal bone
where does the carotid sheath lie in relation to the thyroid gland?
anterolaterally
where does the carotid sheath attach superiorly?
base of the skull
at what vertebral level does the common carotid artery bifurcate?
C4
what are the inferior thyroid arteries a branch of?
subclavian arteries
what are the superior thyroid arteries a branch of?
external carotid arteries
how many venous outputs are there on either side of the thyroid? what are they called?
3; superior, middle and inferior thyroid veins
what do the superior thyroid veins drain into to get to the SVC?
internal jugular veins -> brachiocephalic veins
what do the middle thyroid veins drain into to get to the SVC?
internal jugular veins -> brachiocephalic veins
what do the inferior thyroid veins drain into to get to the SVC?
brachiocephalic veins only
main lymph node supplies to the thyroid and parathyroid glands?
superior deep cervical lymph nodes at top
deep cervical lymph nodes at bottom
pretracheal node
paratracheal nodes
what part of the brain does the vagus nerve exit from?
medulla oblongata
what foramen does the vagus nerve leave the skull
jugular
do the vagus nerves pass anteriorly or posteriorly to lung hila?
posteriorly
does the right or the left vagus pass lateral to the trachea?
right
what 2 structures arise together embryologically from the 4th aortic arch artery?
right subclavian
arch of the aorta
which recurrent laryngeal nerve hooks under the aortic arch?
left recurrent laryngeal nerve
what does the right recurrent laryngeal nerve hook under?
subclavian artery
are the strap muscles found above or below the hyoid bone?
inferior
most superficial of the strap muscles?
sternohyoid
omohyoid
what muscles are anterior and posterior to the posterior triangle of the neck?
SCM = ant trapezius = post
what structures is a thyroidectomy incision made through?
platysma
skin
where should the incision be made in a thyroidectomy?
superior to:
clavicles
jugular notch
what nerve runs in the tracheooesophageal groove?
right recurrent laryngeal nerve
what does injury of 1 recurrent laryngeal nerve result in?
hoarseness of vocal cord
weak cough
what kind of nerve supply does the recurrent laryngeal nerve give?
somatic motor