Reference notes for operating surgeons from classical positions and research methods of academician V.N. Shevkunenko (1872–1952) school based on new data regarding typical anatomy of the neck

Abstract

Objective. To reflect new information on the typical anatomy of the neck in brief notes for endocrine surgeons from the classical positions and research methods of the school of Academician V.N. Shevkunenko. Materials and methods. The design of the study (from 1994 to the present day) consisted of three main directions. While developing an optimal technique of cervical somatometry, 775 healthy individuals (300/38.7 % men, 475/61.3 % women) were examined. The topographo-anatomical block 426 unfixed corpses of persons who died suddenly (290/68 % men, 136/32 % women). Section, dissection, plastination, morphometry, anthropometry, standard histological technique were used. The clinical part of the study included 214 patients (28/13.1 % men, 186/86.9 % women). Results. The article presents the data of analysis and systematization of accumulated data on the typical anatomy of the neck in the form of a brief abstract for operating surgeons from the classical positions of topographic anatomists of Voronezh and St. Petersburg schools of Academician V.N. Shevkunenko. Conclusions. The revealed new typical features of the shape, sizes, structure and position of the thyroid gland (presence or absence of the pyramidal lobe, retrothyroid processes, Zuckerkandl's tubercle), its blood supply, basic and additional guidelines for the search and visualization of the parathyroid glands and recurrent laryngeal nerve during surgery and preoperative diagnosis, the concept of high-risk areas of surgical actions, the features of the bilateral symmetrical and/or asymmetric arrangement and structure of the anatomical formations of the neck can be used during the surgery, widely introduced into the educational process of students, residents, postgraduate courses and for improving the skills of endocrine surgeons during master classes.