Thyroid isthmus

Isthmus glandulae thyroideae

Endocrine & glandsGlandsNeck

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What it is
The narrow bridge of thyroid tissue joining the two lobes across the front of the windpipe, at the level of the 2nd to 4th tracheal rings.
Function
Same follicular tissue as the lobes — makes T4/T3 — and physically links them into one gland.
Size
About 1.25 cm tall and wide, 3–6 mm thick
Clinical note
In about half of people a pyramidal lobe rises from the isthmus towards the hyoid, a remnant of the thyroglossal duct. Surgeons doing a tracheostomy either divide the isthmus or work just below it.