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Clinically relevant variations of the superior thyroid cornu

Overview of attention for article published in Surgical and Radiologic Anatomy, August 2016
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Title
Clinically relevant variations of the superior thyroid cornu
Published in
Surgical and Radiologic Anatomy, August 2016
DOI 10.1007/s00276-016-1735-5
Pubmed ID
Authors

Thomas Shiozawa, P. Epe, S. Herlan, M. Müller, A. Tropitzsch, I. Tsiflikas, B. Hirt

Abstract

The superior thyroid cornu (STC) of the thyroid cartilage is a variable structure that maybe associated with different clinical symptoms. This study evaluates the three-dimensional anatomy of the STC. Measurements were conducted on 97 CT scans (45 male and 52 female). The protocol models a vector from the base to the tip of the STC and references the cornu to the midline. From these data, the length (C), the rotation angle (γ), the inclination angle (β), and the deviation of STC base (X 2) and tip (X 3) from the midline were measured. An additional measure of the medial inclination quotient (Q = X 3/X 2) was calculated. The STC has a mean length of 13.9 ± 3.26 mm. The male STC is more bent inwards (rotation angle (γ) 60.95° vs. 12.15°; p < 0.001), and the female STC is more steep (inclination angle (β) 75.44° vs. 73.44°; p < 0.001). The mean Q in men was significantly lower (0.85 ± 0.15 vs. 0.97 ± 0.15; p < 0.001). An extreme medial deformation was found in 13.4 % of the patients. This variation is associated with Q ≤ 0.7, most of the time unilateral and more common in men (86.7 vs. 13.3 %). Furthermore, we can describe STC variations with close proximity to the common carotid artery or the cervical spine. The clinically most relevant variation of the STC seems to be the extreme medial deviation, which may lead to symptoms described with the superior thyroid cornu syndrome. The evaluation of Q in axial CT scans is easily done and may propose a helpful tool for clinical diagnostics.

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Geographical breakdown

Country Count As %
Unknown 14 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 2 14%
Professor > Associate Professor 1 7%
Student > Doctoral Student 1 7%
Other 1 7%
Unknown 9 64%
Readers by discipline Count As %
Medicine and Dentistry 3 21%
Nursing and Health Professions 1 7%
Unknown 10 71%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 31 August 2016.
All research outputs
#19,221,261
of 23,815,455 outputs
Outputs from Surgical and Radiologic Anatomy
#514
of 705 outputs
Outputs of similar age
#262,323
of 340,699 outputs
Outputs of similar age from Surgical and Radiologic Anatomy
#6
of 7 outputs
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So far Altmetric has tracked 705 research outputs from this source. They receive a mean Attention Score of 2.8. This one is in the 16th percentile – i.e., 16% of its peers scored the same or lower than it.
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