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Updated Guidelines for Management of Thyroid Disease in Adults

Thyroidectomy is a commonly performed surgical procedure for the partial/complete removal of the thyroid gland. According to the United states data, over 100,000 thyroid operations are performed annually in the US alone. In order to have a uniform and evidence-based treatment for the management of thyroid disease, various guidelines are published by different surgical associations.

Important Triangles in Thyroid Surgery

Thyroidectomy is a surgical procedure involving removal of the thyroid glands. The procedure can be a hemi-thyroidectomy (partial removal) or can be a total thyroidectomy. The most important thing about thyroidectomy is the meticulous dissection needed for preserving the two nerves and bilateral parathyroid glands. These two nerves are the Recurrent laryngeal nerve (RLN) and

Tubercle of Zuckerkandl

Zuckerkandl Tubercle (ZT) is the posterior projection of lateral lobes of the thyroid gland and is a common anatomical structure observed in 60-90% of cases. The tubercle was first described by Otto Madelung in 1867 as “posterior horn of the thyroid”. Later in 1902, Emil Zuckerkandl described it as ‘tuberculum’ or ‘processus posterior glandulae thyroideae’. Gilmour