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The slight projection at the front of the throat formed by the largest cartilage of the larynx, usually more prominent in men than in women.

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Wayne Shorter ― Adam's Apple

Adam adamantly cartilage coffee rose crape jasmine crepe gardenia crepe jasmine East Indian rosebay genus Tabernaemontana gristle larynx Nero's crown pinwheel flower Tabernaemontana Tabernaemontana divaricate Throatboll thyroid thyroid cartilage voice box. References in classic literature? He was slender to emaciation, cavernously checked, roll after roll of skin, no longer encasing flesh or muscle, hanging grotesquely down his neck and swathing the Adam's apple so that only occasionally, with queer swallowing motions, did it peep out of the mummy-wrappings of skin and sink back again from view.

View in context. The knife touched just above the Adam's Apple as the boy was trapped in Holywell town centre and Renshaw shouted "give me your phone and money". I found myself tantalized by this excerpt from the latest book by the Canadian poet, classicist, and translator: "Eve changes human history by putting a free mark on Adam's apple. PC Adrian Goldsmith, 49, is alleged to have held Jill, 49, by the throat so hard he "fractured her Adam's apple and a bone in her neck".

A post-mortem revealed he suffered bruising to his scalp, chest and wrists and fractures to a bone in his neck and Adam's apple. She said: "He was laughing so hard his Adam's apple nearly got caught in his belt. Ultrasound confirms a simple cyst with posterior enhancement at the location of and just superior to the hyoid bone. No solid component was seen in the cyst. The management of small thyroglossal duct cysts is controversial. Many endocrinologists will watch without treatment once it has been established that the cyst is small, stable in size and there is absence of a solid component.

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Although some studies suggest that the outcome of papillary thyroid carcinoma is the same as primary thyroid carcinoma, other studies suggest that malignancy in thyroglossal ducts may be more aggressive with direct tissue invasion and metastatic nodes. Treatment should be assessed based on the same criteria as primary thyroid cancer according to the American Joint Committee on Cancer staging and American Thyroid Association Risk Assessment.

Ultrasound of the thyroid: Ultrasound confirms that both lobes of the thyroid were present in the lower anterior neck. The thyroid was normal in size but was hypoechoic and heterogeneous, consistent with chronic thyroiditis. Left lobe, transverse. Left lobe, sagittal. Images reprinted with permission from: Stephanie L. Lee, MD, PhD. The recurrence rate of a thyroglossal duct cyst is very high after simple resection.

The surgical procedure of choice, the Sistrunk procedure, was described in The Sistrunk procedure has not changed in the intervening years and requires an extensive resection of the thyroglossal duct cyst, the central portion of the hyoid bone and the thyroglossal tract extending to the back of the tongue to the foramen cecum.

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Because of the extent of this surgery, I recommend resection only if the cyst is large, symptomatic, varies in size or prior infection. The risk of nonsurgical treatment is infection of the cyst with local inflammation and fibrosis, making future resection more difficult. Tell us what you think about Healio. Login Register My Saved.

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Imaging Analysis. Endocrine Today, September Stephanie L. Please provide your email address to receive an email when new articles are posted on this topic. Receive an email when new articles are posted on this topic.

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J Clin Endocrinol Metab. Lee can be reached at Boston Medical Center, 88 E. Newton St.