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THYROID
Dr. SANA YASEEN
ANATOMY DEPARTMENT
• Endocrine gland
• Endodermal in origin
• Location: front of lower part of larynx and upper part of
trachea (anterior to the junction of the thyroid and cricoid
cartilages ).
• Weigh: 25gm
Extension
Parts
• Composed of
– 2 lobes joined together by isthmus.
• In some people, the gland has an additional lobe, called
the pyramidal lobe, that ascends from the left side of
the isthmus.
• The pyramidal lobe is an embryological remnant of the
path of descent of the thyroid primordium from its origin
in the forming tongue by way of the thyroglossal duct.
– 2 capsules (true and false)
• Each lobes are composed of :
– 3surfaces
– 2borders
– Apex
– Base
TRUE CAPSULE: is peripheral condensation of
connective tissue surrounding gland. Throwing into
septa and lobules.
FALSE CAPSULE: derived from pretracheal layer
of deep fascia.
• Moves during deglutition and speech.
• It is thick on inner surface of gland where it
forms suspensory ligament of berry, connects
lobe of thyroid to cricoid cartilage.
SURFACES
 Lateral:
 Is lateral and forward
 Covered by: skin, fascia, sternothyroid, sternohyoid,
omohyoid, sternocleidomastoid muscle
 Medial:
 Lies over thyroid & cricoid cartilage, trachea and
esophagus.
 Inferior constrictor of pharynx, recurrent laryngeal nerve
and external laryngeal nerve.
 Posterior:
• Carotid sheath and its contents
BORDERS
 Anterior:
 between lateral and medial surface.
Relation: branch of superior thyroid artery.
 Posterior:
 between posterior and medial surface
Relation: inferior thyroid artery
 Parathyroid gland
 Thoracic duct
• APEX: upper end extends up to oblique line of
thyroid cartilage
• Base: lower end extends up to 5-6 tracheal ring
or T1 vertebrae.
ISTHMUS
• lies in front of 2-4 tracheal ring
• Anteriorly related to: skin, fascia, sternohyoid,
sternothyroid muscles.
• Upper border: finger like projection (pyramidal
lobe) attach to hyoid bone by levator of thyroid
gland
ARTERIAL SUPPLY
• Superior thyroid artery: branch of ECA-
upper border of gland and isthmus
• Inferior thyroid artery: branch of
thyrocervical trunk- lower pole of gland
VENOUS DRAINAGE
• Superior thyroid
vein- IJV
• Middle thyroid vein
– IJV
• Inferior thyroid vein-
L-brachiocephalic
vein
FUNCTIONS OF THYROID GLAND
• Brain maturation
• Bone growth
• Beta adrenergic effects
• Increase rate of Basal metabolism
• Another hormone, calcitonin, aids in
decreasing blood calcium levels and
facilitates the storage of calcium in bones
• GOITER: is increase in the size of thyroid
gland.
• Hyperthyroidism:
• Hypothyroidism:
THYROIDECTOMY
Thyroid

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Thyroid

  • 2. • Endocrine gland • Endodermal in origin • Location: front of lower part of larynx and upper part of trachea (anterior to the junction of the thyroid and cricoid cartilages ). • Weigh: 25gm
  • 3.
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  • 6. Parts • Composed of – 2 lobes joined together by isthmus. • In some people, the gland has an additional lobe, called the pyramidal lobe, that ascends from the left side of the isthmus. • The pyramidal lobe is an embryological remnant of the path of descent of the thyroid primordium from its origin in the forming tongue by way of the thyroglossal duct. – 2 capsules (true and false) • Each lobes are composed of : – 3surfaces – 2borders – Apex – Base
  • 7. TRUE CAPSULE: is peripheral condensation of connective tissue surrounding gland. Throwing into septa and lobules. FALSE CAPSULE: derived from pretracheal layer of deep fascia. • Moves during deglutition and speech. • It is thick on inner surface of gland where it forms suspensory ligament of berry, connects lobe of thyroid to cricoid cartilage.
  • 8.
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  • 11. SURFACES  Lateral:  Is lateral and forward  Covered by: skin, fascia, sternothyroid, sternohyoid, omohyoid, sternocleidomastoid muscle  Medial:  Lies over thyroid & cricoid cartilage, trachea and esophagus.  Inferior constrictor of pharynx, recurrent laryngeal nerve and external laryngeal nerve.  Posterior: • Carotid sheath and its contents
  • 12.
  • 13. BORDERS  Anterior:  between lateral and medial surface. Relation: branch of superior thyroid artery.  Posterior:  between posterior and medial surface Relation: inferior thyroid artery  Parathyroid gland  Thoracic duct
  • 14. • APEX: upper end extends up to oblique line of thyroid cartilage • Base: lower end extends up to 5-6 tracheal ring or T1 vertebrae.
  • 15.
  • 16. ISTHMUS • lies in front of 2-4 tracheal ring • Anteriorly related to: skin, fascia, sternohyoid, sternothyroid muscles. • Upper border: finger like projection (pyramidal lobe) attach to hyoid bone by levator of thyroid gland
  • 17.
  • 18. ARTERIAL SUPPLY • Superior thyroid artery: branch of ECA- upper border of gland and isthmus • Inferior thyroid artery: branch of thyrocervical trunk- lower pole of gland
  • 19.
  • 20. VENOUS DRAINAGE • Superior thyroid vein- IJV • Middle thyroid vein – IJV • Inferior thyroid vein- L-brachiocephalic vein
  • 21.
  • 22. FUNCTIONS OF THYROID GLAND • Brain maturation • Bone growth • Beta adrenergic effects • Increase rate of Basal metabolism • Another hormone, calcitonin, aids in decreasing blood calcium levels and facilitates the storage of calcium in bones
  • 23. • GOITER: is increase in the size of thyroid gland. • Hyperthyroidism: • Hypothyroidism:
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