Anatomy of the Thyroid Gland Flashcards

1
Q

what are the anatomical relations of the thyroid gland?

A

larynx & trachea in the anterior neck

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2
Q

How many lobes does the thyroid have?

A

2 lateral lobes (right & left)

may have an Isthmus (a narrow connecting band)

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3
Q

Where do the lobes of the thyroid attach to?

A

lateral aspects of the thyroid & cricoid cartilages and to the trachea

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4
Q

Which tracheal cartilages does the isthmus lie anterior to?

A

2nd & 3rd cartilages of the trachea

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5
Q

What is the name given to an enlarged thyroid gland?

A

goitre

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6
Q

Where are the superior and inferior parathyroid glands found?

A

the posterior surface of the thyroid gland

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7
Q

What remnant of embryological development can be seen as part of the thyroid gland?

A

Pyramidal lobe

some not connected to the main thyroid gland1

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8
Q

Where can the pyramidal lobe attach to?

A
  • Most attach superiorly to thyroid cartilage

* May extend as far superiorly as the hyoid bone

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9
Q

Where does thyroid development begin in the embryo?

A

at the junction between the anterior 2/3rds (horizontal) and posterior 1/3rd (vertical) of the tongue

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10
Q

When the thyroid migrates inferiorly during development, what does it remain attached to?

A

tongue via the thyroglossalduct

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11
Q

What is the name given to the superficial muscles found in the superficial fascia around the thyroid?

A

platysma

part of the muscles of facial expression

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12
Q

What nerve are the platysma muscles supplied by?

A

CN VII (the facial nerve)

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13
Q

What structures can be found in the pre-vertebral deep fascia?

A

Postural neck muscles

Cervical vertebrae

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14
Q

What 2 muscles are found in the investing fascia?

A

Trapezium

Sternocleidomastoid

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15
Q

What structures are contained in the carotid sheaths

A
  • Vagus nerves
  • Deep cervical lymph nodes
  • Carotid arteries
  • Internal jugular vein
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16
Q

What structures are located in the pre-tracheal fascia

A
  • Oesophagus
  • Trachea
  • Thyroid gland
  • Strap muscles
  • Recurrent laryngeal nerves
17
Q

What arteries are responsible for supplying the thyroid gland

A

Superior Thyroid Artery
Inferior Thyroid Artery
Thyroid Ima Artery (not seen in everyone)

18
Q

Where does the superior thyroid artery branch from?

A

External carotid artery

19
Q

Where does the inferior thyroid artery branch from?

A

R + L subclavian

20
Q

What veins are responsible for draining the thyroid gland?

A

Superior Thyroid Vein
Middle Thyroid Vein
Inferior Thyroid Vein

21
Q

Where do the superior and middle thyroid veins drain to?

A

Internal Jugular Vein

22
Q

Where do the inferior thyroid veins drain to?

A

Brachiocephalic Vein

23
Q

What lymph nodes surround the thyroid gland

A

Superior deep cervical lymph nodes

(Right) Inferior deep cervical lymph nodes

Pre-tracheal node
Para-tracheal node

24
Q

What cranial nerve does the recurrent laryngeal nerve branch from?

A

CN X

Vagus Nerve

25
What structure does the Right Recurrent Laryngeal nerve loop underneath?
Right Subclavian Artery
26
What structure does the Left Recurrent Laryngeal nerve loop underneath?
Arch of the Aorta
27
Name the 4 strap muscles
Thyrohyoid Sternohyoid Omohyoid Sternothyroid
28
How can the thyroid be surgically accessed?
* Classical thyroidectomy * Endoscopically assisted thyroidectomy * Endoscopic trans-axillary approach * Endoscopic trans-breast approach
29
Where is the incision usually made in a classical thyroidectomy?
just superior to the clavicles & jugular notch
30
What does each recurrent laryngeal nerve supply?
somatic motor supply to most of the skeletal muscles that move each vocal cord
31
What does unilateral recurrent laryngeal nerve damage result in?
- hoarseness - weakness of the voice - a weak cough
32
What does bilateral recurrent laryngeal nerve injury result in?
- aphonia (inability to produce sound) - inability to close the rima glottidis (opening between vocal cords) => cant prevent aspiration => cant produce good cough