{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T04:14:15Z","timestamp":1770005655176,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2009,12,31]],"date-time":"2009-12-31T00:00:00Z","timestamp":1262217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>An issue that has been overlooked in medical literature concerns the prevalence and topographic relationships of the middle thyroid vein (MTV), which have been studied, with a prospective approach, in patients with various thyroid diseases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>MTV prevalence has been investigated in 394 consecutive lobes and a number of different variables (age, gender, thyroid pathology, gland weight) have been considered. Moreover, in cooperation with our Human Morphology Department, we brought to completion a dedicated anatomy report, with the clear objective of providing a detailed anatomic description of MTV.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of MTV was 38% of the dissected lobes and 62% of operated patients. Most veins arise from the mid region of the thyroid lobe (80%): <jats:italic>B<\/jats:italic>, <jats:italic>3<\/jats:italic>, and <jats:italic>2<\/jats:italic> positions in accordance with our scheme. As far as thyroid pathology is concerned, we found that the presence of MTV was more frequent in hyperthyroidism and large goiters (<jats:italic>p<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A better understanding of the anatomic variability in MTV may be useful not only to minimize the risk of bleeding, but it also can help to perform a more accurate dissection with the goal of preserving the laryngeal nerves and parathyroid glands, especially because of its location and relationships with other adjacent structures.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-009-0350-6","type":"journal-article","created":{"date-parts":[[2009,12,30]],"date-time":"2009-12-30T14:54:45Z","timestamp":1262184885000},"page":"514-520","source":"Crossref","is-referenced-by-count":9,"title":["The Middle Thyroid Vein: Anatomical and Surgical Aspects"],"prefix":"10.1002","volume":"34","author":[{"given":"Gianlorenzo","family":"Dionigi","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, Endocrine Surgery Research Center University of Insubria, Ospedale di Circolo \u2013 Polo Universitario Viale Guicciardini 21100 Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terenzio","family":"Congiu","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Endocrine Surgery Research Center University of Insubria, Ospedale di Circolo \u2013 Polo Universitario Viale Guicciardini 21100 Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Rovera","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Endocrine Surgery Research Center University of Insubria, Ospedale di Circolo \u2013 Polo Universitario Viale Guicciardini 21100 Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Boni","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Endocrine Surgery Research Center University of Insubria, Ospedale di Circolo \u2013 Polo Universitario Viale Guicciardini 21100 Varese Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,12,31]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"14","article-title":"Surgical anatomy of human parathyroid glands","volume":"95","author":"Akerstr\u00f6m G","year":"1984","journal-title":"Surgery"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194\u20105998(97)70256\u20100"},{"key":"e_1_2_5_4_2","first-page":"269","article-title":"La vascolarizzazione della ghiandola tiroide dell\u2019uomo","volume":"37","author":"Allara E","year":"1936","journal-title":"Arch Ital Anat Embriol"},{"key":"e_1_2_5_5_2","unstructured":"BairatiA(1988)Ghiandola tiroidea. 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