Cross Sectional Study on Thyroid Arteries with Clinical Correlations

Main Article Content

Ankita Saha
Shantanu Nandy

Abstract

Introduction- Thyroid gland is a highly vascular endocrine gland. The aim of our study is to explore thyroid arteries to escape eventual iatrogenic complications.


Materials and Methods- Both sides of neck of total 60 adult embalmed cadavers were dissected in West Bengal (2020-2021).


Results- We found Superior Thyroid Arteries in 100% cases originating from External Carotid Artery in 77.5% cases, Carotid Bifurcation in 11.67% cases, Common Carotid Artery in 7.5% cases, as well as a common trunk with Lingual artery in 1.67% cases, Lingual and Facial arteries in 1.67% cases. Source of origin of Superior Thyroid Artery when compared with level of origin and between male and female cadavers, the result was found statistically significant (p< 0.05). Inferior Thyroid Artery was present in 90% cases and absent in 10% cases. Inferior Thyroid Artery originated from Thyrocervical Trunk in 92.5% cases, Common Carotid Artery in 1.67% cases, Subclavian Artery in 0.83% cases. Thyroidea Ima Artery was found in 3.33% cases arising from Arch of Aorta and Brachiocephalic Trunk.


Conclusion- Knowledge of thyroid arterial variations will help to prevent loss of patient life due to hemorrhage during surgery.

Article Details

How to Cite
1.
Saha A, Nandy S. Cross Sectional Study on Thyroid Arteries with Clinical Correlations. BJOHNS [Internet]. 2023Jul.29 [cited 2024Dec.3];30(3):305-12. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/875
Section
Main article
Author Biographies

Ankita Saha, Sarat Chandra Chattopadhyay Government Medical College and Hospital, Uluberia, West Bengal

Senior Resident, Deaprtment of Anatomy

Shantanu Nandy, Bankura Sammilani Medical College, West Bengal, India

Associate Professor, Department of Anatomy

References

Vijay Laxmi, Kulbir Kaur, Palak Chhabra. Superior Thyroid Artery: its Origin, Length, Relations and Branches. International Annals of Medicine. 2017; 1(4)

Livini F.Studio morfolotico dell arterie tirordee. Sperimentale 1900; 54:42-129

Standring S. Gray’s Anatomy. The Anatomical Basis of Clinical Practice. 41st Ed., 2016, Elsevier Limited; p 453- 461

Moore KL, Dalley AF. Clinical oriented Anatomy. 6th ed, Lippincott Williams –Wilkins 2010; Neck, p1018-1020

Neubauer J. De arteria thyreoidea ima rariare arteriae innominate ramo. 1786:291-96

Quain R. Anatomy of the arteries of the human bodies, with its applications to pathology and operative surgery. London, 1844, P-171

Tazbir J, Dedecjus M, Kaurzel Z, et al. Selectiveembolization of thyroid arteries (SETA) as a palliative treatment of inoperable anaplastic thyroidcarcinoma (ATC). Neuro Endocrinol Lett. 2005; 26:401–6

Bergman RA, Thomson SA, Afifi AK, Saadeh FA. Compendium of human anatomic variation. Cardiovascular System. Baltimore: Urban and Schwarzenberg, 1988:64

Rimpi Gupta and Rajan Kumar Singla, Multiple Anomalies in Thyroid Gland. Journal of Clinical and Diagnostic Research. 2011 December, Vol-5(8): 1634-1636

Morrigyl B, Sturm W, Absence of three regular thyroid arteries replaced by an unusual lowest thyroid artery: A case report. Surg Radiol Anat 1996; 18:147-150

Anagnostopoulou S, Mavridis I. Emerging patterns of the human superior thyroid artery and review of its clinical anatomy. Surg Radiol Anat 2014; 36:33-8

Teresa Va´zquez, Rosana Cobiella, Eva Maranillo, Francisco Jose, Valderrama, Stephen McHanwell, Ian Parkin, Jose Ramon Sanudo, Anatomical Variations Of The Superior Thyroid and Superior Laryngeal Arteries. Head Neck 2009 Aug; 31(8):1078-85

Rajamadhava R, Kafeel Hussain A, Swayam Jothi S, Hemanth Kommuru, Sujatha N. Variations In The Course Of the Superior and Inferior Thyroid Arteries In Relation To the External and Recurrent Laryngeal Nerves. IOSR Journal of Dental and Medical Sciences 2015

Adachi B (1928) DAS Arteriensystem der JAPANER, vol. 1 Kenkyusha, Kyoto, pp 58-62

Hayashi N, Hori E, Ohtani Y, Ohtani O, Kuwayama N, Endo S (2005) Surgical anatomy of the cervical carotid artery for carotid endarterectony. Neurol Med Chir 45(1):25-29

Kanta Ray Rimi, Shami Ara, MotaharHassain, KMshefyetullah, Humaria Naushaba, BK Bose; Postmortern study of thyroid arteries in Bangladeshi people. Bangladesh Journal of Anatomy 2009, 7, 26-33

Anitha T, Dombe D, Asha K, Kalbande S. Clinically relevant variations of the superior thyroid artery: An anatomic guide for neck surgeries. Int J Pharm Biomed Sci. 2011, 2(2); p 51-54

Ongeti KW, Ogeng'o JA. Variant origin of the superior thyroid artery in a Kenyan population. Clin Anat. 2012; 25:198-202

Magoma G, H. Saidi, Kaisha WO. Origin of thyroid arteries in a Kenyan population. The ANNALS of AFRICAN SURGERY. January 2012 • Volume 9; pp-50-54

Gupta P, Bhalla AS, Thulkar S, Kumar A, Mohanti BK, Thakar A, Sharma A. Variations in superior thyroid artery: a selective angiographic study. Indian J Radiol Imaging. 2014,24:66-71

Dessie MA (2018) Variations of the origin of superior thyroid artery and its relationship with the external branch of superior laryngeal nerve. PLOS ONE 13(5): e0197075

Ozgur Z, Govsa F, Celik S, Ozgur T. Clinically relevant variation of the superior thyroid artery : an anatomic guide for surgical neck dissection. Surg Radio Anat 2009, 31,151-159

Abhijeet Joshi, Sumit Gupta, V H Vaniya Anatomical variation in the origin of superior thyroid artery and its relation with external laryngeal nerve. National journal of medical research. 2014; 4(2):138- 41

Pushpalatha M, Vidhya K. S. Study on variations in origin of superior thyroid artery. J Evid Based Med Healthc. 2015; 2(59):8968 – 8970

Veena Vidya Shankar, Komala N, Shailaja Shetty. A Cross-Sectional Study of Superior Thyroid Artery In Human Cadavers. Int J Anat Res 2017; 5(4.3):4751- 4755

Sreedharan R,Krishna L,Shetty A.Origin of superior thyroid artery: under the surgeon’s knife.J. vasc. bras. vol.17 no.4 Porto Alegre Oct. /Dec. 2018

Amanuel T. Tsegay, Tesfamichael Berhe, Fasika Amdeslase, Hintsanesh Hayelom. Variations on Arterial supply of Thyroid gland and its clinical significance in selected universities of North Ethiopia. Int J Anat Res 2019; 7(3.2):6830-6834

Rohlich K, Uber den Trunkus thyroecervicalis des Menschen, Anat Anz, 1940; 10(12): 129 – 148

Daseler E, Anson B: Surgical anatomy of the subclavian artery and its branches. Surg Gynecol Obstet. 1959; 108: 149-174

Toni R, Casaa D, Castorina S, Roti E, Cedad G, Valenti G. A Meta-Analysis Of Inferior Thyroid artery Variations In Different Human Ethnic Groups And Their Clinical Implications. Ann Anat 2005; 187: 371-385

Roshan S, Nivedita Pandey, Varsha Bhivate, Rahul P Kharate. Morphometric study of Inferior Thyroid Artery in cadavers. Int J Anat Res 2015; 3(4):1726-1731

Chandrakala SP, Mamatha Y.,Thejaswini K.O. Variation in the origin of inferior thyroid artery and relation of the artery with recurrent laryngeal nerve. National Journal of clinical anatomy, 2013.Vol-2, (1), page 11-15

Gandhi OP. Inferior thyroid artery-its origin, course, relations, branches. J Anat Soc India 1971; 20:83

Hollinshead WH. Anatomy for Surgeons: The Head and Neck. 1st ed. Vol. 1. Philadelphia, PA: Lippincott Williams and Wilkins; 1982

Bhardwaj N, Joshi A. Bilateral absence of inferior thyroid artery: A rare variation. Int J Med Sci Public Health 2019; 8(5):401-403

Yilmaz E, Celik HH, Durgun B, Atasever A and Ilgi S. Arteria thyroidea ima arising from the brachiocephalic trunk with bilateral absence of inferior thyroid arteries: a case report.Surg Radiol Anat (1993) ;15:197-199

Simmons J, Doppman J, Norton J. Inferior thyroid artery arising from Common carotid artery with aberrant right Subclavian artery. Cardiovascular Intervent Radiol, 1987; 10: 150 – 152

Chin J, Zhou Y, Wan PJ, Lomiguen CM. The prevalence of thyroid ima artery and its clinical significance. Int J Otorhinolaryngol Head Neck Surg 2019; 5: 845-9