Introduction: the thyroid gland is the largest endocrine gland
in the body. It is situated in the neck anterior to the trachea between the
levels of C5 and C7
in the body. It is situated in the neck anterior to the trachea between the
levels of C5 and C7
Parts: it is made up of left and right lobes connected by
isthmus.
isthmus.
Relations:
Anteriorly: pretracheal fascia, strap muscle and sternocleidomastoid.
The anterior jugular vein courses over the isthmus.
The anterior jugular vein courses over the isthmus.
Posteriorly: larynx and trachea, pharynx and esophagus and
the recurrent laryngeal nerve.
the recurrent laryngeal nerve.
On left and right sides: the carotid sheath.
Arterial supply:
–
Superior thyroid artery
Superior thyroid artery
–
Inferior thyroid artery
Inferior thyroid artery
–
Thyroidea ima artery
Thyroidea ima artery
Venous drainage:
–
Superior thyroid vein
Superior thyroid vein
–
Middle thyroid vein
Middle thyroid vein
–
Inferior thyroid vein
Inferior thyroid vein
Lymph drainage: the thyroid glands lymph drainage follows
the arteries:
the arteries:
1.
From the upper poles: they enter the
anterosuperior group of deep cervical lymph nodes.
From the upper poles: they enter the
anterosuperior group of deep cervical lymph nodes.
2.
From the lower pole: lymph pass with inferior
thyroid artery into the posterior inferior group of deep cervical lymph nodes.
From the lower pole: lymph pass with inferior
thyroid artery into the posterior inferior group of deep cervical lymph nodes.
Nerve supply: nerve supply to the thyroid gland are derived
from the superior, middle and inferior cervical sympathetic ganglia.
from the superior, middle and inferior cervical sympathetic ganglia.
Clinical correlates: enlargement of the thyroid may compress
or displace the trachea and esophagus resulting in their narrowing and
difficulty in breathing and swallowing.
or displace the trachea and esophagus resulting in their narrowing and
difficulty in breathing and swallowing.
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