Thyroid Inferior Artery Topography and Linear Dimensions in Males and Females
https://doi.org/10.18499/2225-7357-2025-14-3-59-67
Abstract
The aim of the study is to identify sex-related features of the topography and linear dimensions of the inferior thyroid artery. Material and methods. The study was performed on 56 neck organ complexes, which included the aortic arch, common and external carotid arteries, subclavian arteries, larynx, cervical part of the trachea and esophagus, and on 400 head and neck CT angiography scans. The organ complexes were preliminarily dissected. The arterial bed of the inferior thyroid artery was injected with a colored gelatin-based mass. Subsequently, the specimens were fixed in a 10% formalin solution and underwent final dissection. Photographs of the resulting preparations were analyzed using an overlaid grid. The CT scans were analyzed using the IMV DICOM Viewer software (IMVISION, 2023). For statistical hypothesis testing, the Mann–Whitney U test, the Kruskal–Wallis H test, and the Chi-square (χ2) test were calculated. Results. Differences were established in the level of origin of the inferior thyroid artery between the right and left sides. Sex-related differences were also found in the location of its orifice relative to the inferior pole of the thyroid gland lobe. Furthermore, the presence of statistically significant differences in the length and diameter of the inferior thyroid artery was noted between individuals of different sexes and with varying neck lengths. Conclusion. The study showed differences in the position of the inferior thyroid artery orifice associated with sex and neck length. Furthermore, it was found that the artery forms an arch more often on the right side, at the level of the lower third of the corresponding thyroid lobe.
About the Authors
A. V. Pavlov
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Artem V. Pavlov - Doct. Sci. (Med.), Professor, Head of Anatomy Department, I.P. Pavlov Ryazan State Medical University.
Vysokovol'tnaya ul., 9, Ryazan, 390026
N. A. Chugunov
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Nikita A. Chugunov - Teaching Assistant at the Anatomy Department, I.P. Pavlov Ryazan State Medical University.
Ryazan
A. Yu. Efratov
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Aleksei Yu. Efratov - Senior Lecturer at the Department of Disaster Medicine and Emergency Medical Care, I.P. Pavlov Ryazan State Medical University.
Ryazan
A. I. Vvedenskii
I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Artem I. Vvedenskii - Cand. Sci. (Med.), Associate Professor at the Anatomy Department, I.P. Pavlov Ryazan State Medical University.
Ryazan
L. A. Pavlova
St. Petersburg State University
Russian Federation
Russian Federation
Lyubov' A. Pavlova – student, St. Petersburg State University.
St. Petersburg
References
1. Kuprin AA, Malyuga VY, Stepanova EA. Arterial blood supply of the internal neck organs: anatomy, topography, clinical significance in endocrine surgery. Endocrine surgery. 2021;15(3):4-22. doi: 10.14341/serg12720 (in Russ.).
2. Pavlov A. V., Pronin N. A., Lazutina G. S. i dr. Patent RF № 2802389 C1 Sposob zabora kompleksa "shchitovidnaya zheleza s magistral'nymi i ehkstraorgannymi sosudami" pri autopsii, 2023. (in Russ.)
3. Pivchenko P. G., Trushel' N. A. Osobennosti stroeniya sosudov shchitovidnoi zhelezy cheloveka. Zhurnal GrGMU. 2006. 1(13). (in Russ.).
4. Chaplygina E.V., Kuchieva M.B., Markevich A.V., Ovseenko T.E. tipovaya anatomiya shei. vozmozhnosti opredeleniya i klinicheskoe znachenie. Sovremennye problemy nauki i obrazovaniya. 2019;5:120. (in Russ.).
5. Chugunov N.A., Pavlov A.V., Glukhovets I.B., Prokof'ev D.Yu., Sychev V.V., Vvedenskii A.I., Zvereva A.S. Novye dannye orientirnoi anatomii verkhnei shchitovidnoi arterii cheloveka. Morfologiya. 2024. 162(3): 288-296. doi: 10.17816/morph.633217. (in Russ.).
6. Barczyński M, Konturek A, Pragacz K, Papier A, Stopa M, Nowak W. Intraoperative nerve monitoring can reduce prevalence of recurrent laryngeal nerve injury in thyroid reoperations: results of a retrospective cohort study. World J Surg. 2014 Mar;38(3):599-606. doi: 10.1007/s00268-013-2260-x.
7. Bednarz M. et al. Superior thyroid arteryvariations of origin and clinical significance //Journal of Pre-Clinical and Clinical Research. - 2024. - Т. 18. - №. 2. - С. 168-174.
8. Bhardwaj Y, Singh B, Bhadoria P, Malhotra R, Tarafdar S, Bisht K. Computed tomography angiographic study of surgical anatomy of thyroid arteries: Clinical implications in neck dissection. World J Radiol. 2023 Jun 28;15(6):182-190. doi: 10.4329/wjr.v15.i6.182.
9. Branca JJV, Lascialfari Bruschi A, Pilia AM, Carrino D, Guarnieri G, Gulisano M, Pacini A, Paternostro F. The Thyroid Gland: A Revision Study on Its Vascularization and Surgical Implications. Medicina (Kaunas). 2022 Jan 17;58(1):137. doi: 10.3390/medicina58010137.
10. Bruna-Mejias A, Pérez-Farías C, Prieto-Heredia T, Vergara-Vargas F, Martínez-Cid J, SanchisGimeno J, Afandi-Rebolledo S, Valdés-Orrego I, Nova-Baeza P, Suazo-Santibáñez A, ValenzuelaFuenzalida JJ, Orellana-Donoso M. A Systematic Review of Anatomical Variations of the Inferior Thyroid Artery: Clinical and Surgical Considerations. Diagnostics (Basel). 2025 Jul 23;15(15):1858. doi: 10.3390/diagnostics15151858.
11. Bunea MC, Rusali LM, Bratu IC, Tudorache S, Bordei P. Considerations on the origin of the inferior thyroid artery emerging from the subclavian artery determined by CT examination. Surg Radiol Anat. 2023 Jun;45(6):721-727. doi: 10.1007/s00276-023-03140-9.
12. Esen K, Ozgur A, Balci Y, Tok S, Kara E. Variations in the origins of the thyroid arteries on CT angiography. Jpn J Radiol. 2018 Feb;36(2):96-102. doi: 10.1007/s11604-017-0710-3. Epub 2017 Dec 4.
13. Gendeh H, Rosdi NF, Mohamad Yunus MR. Posttracheostomy Bleeding: A Case Report on a Rare Variation of the Inferior Thyroid Artery. Cureus. 2024 Sep 12;16(9):e69242. doi: 10.7759/cureus.69242.
14. Jang HS, Kim Y. Endovascular treatment of massive hemorrhage arising from inferior thyroid artery after fine needle aspiration of thyroid: a case report. BMC Surg. 2021 Apr 27;21(1):220. doi: 10.1186/s12893-021-01184-5.
15. Kumar N, Paul VS, Bhat KMR, Aithal AP. Bilateral variation in the branching pattern of the subclavian artery: an unusual finding with clinical implications. J Vasc Bras. 2023 Mar 27;22:e20220147. doi: 10.1590/1677-5449.202201472.
16. Noussios G, Chatzis I, Konstantinidis S, Filo E, Spyrou A, Karavasilis G, Katsourakis A. The Anatomical Relationship of Inferior Thyroid Artery and Recurrent Laryngeal Nerve: A Review of the Literature and Its Clinical Importance. J Clin Med Res. 2020 Oct;12(10):640-646. doi: 10.14740/jocmr4296. Epub 2020 Sep 21.
17. Ray B, Pugazhandhi B, D'Souza AS, Saran S, Fasil M, Srinivasa RS. Analysis of the arterial anatomical variations of thyroid gland: anatomic guide for surgical neck dissection. BratislLekListy. 2012;113(11):669-72. doi: 10.4149/bll_2012_151.
18. Triantafyllou G. et al. The superior thyroid artery origin pattern: a systematic review with metaanalysis //Surgical and Radiologic Anatomy. -2024. - Т. 46. - №. 9. - С. 1549-1560.
19. Zakaria HM, Al Awad NA, Al Kreedes AS, Al-Mulhim AM, Al-Sharway MA, Hadi MA, Al Sayyah AA. Recurrent laryngeal nerve injury in thyroid surgery. Oman Med J. 2011 Jan;26(1):34-8. doi: 10.5001/omj.2011.09.
20. Zhu D, Abdelrehem A, Wu L, Xia R, Zhu Y, Sheng S, Ai S, Ma C. Multiparametric CT-based assessment of pretracheal anatomical relationships for safe tracheotomy: A long-forgotten issue revisited. Oral Oncol. 2022 Mar;126:105719. doi: 10.1016/j.oraloncology.2022.105719
Review
For citations:
Pavlov A.V., Chugunov N.A., Efratov A.Yu., Vvedenskii A.I., Pavlova L.A. Thyroid Inferior Artery Topography and Linear Dimensions in Males and Females. Journal of Anatomy and Histopathology. 2025;14(3):59-67. (In Russ.) https://doi.org/10.18499/2225-7357-2025-14-3-59-67
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