Is Slight Asymmetry in Thyroid Cartilage Normal? ENT Insights - Otolaryngology

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The cartilage next to the Adam's apple is slightly protruding?


Hello doctor, I recently noticed that the cartilage next to my Adam's apple is slightly protruding on one side, causing asymmetry (it's not visible, but can be felt upon touch).
Is this a normal phenomenon? Thank you.

Yōlǜ de rén, 20~29 year old female. Ask Date: 2021/03/19

Dr. Zheng Jueyi reply Otolaryngology


Hello: It is generally normal for there to be slight asymmetry on both sides.
If you have concerns or doubts, you may visit an otolaryngology clinic for examination and confirmation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/03/19

More Info


Slight asymmetry in the thyroid cartilage can be a common anatomical variation and is often considered normal. The thyroid cartilage, which forms the bulk of the larynx and is commonly referred to as the "Adam's apple," can exhibit slight differences in size and shape between the left and right sides. This asymmetry may not be noticeable visually but can be detected upon palpation, as you described.

In most cases, slight asymmetry does not indicate any underlying pathology and is simply a normal anatomical variation. The human body is not perfectly symmetrical, and many structures, including bones and cartilages, can have minor differences from one side to the other. These variations can be influenced by factors such as genetics, developmental processes, and even habitual activities.

However, it is important to consider the context of your observation. If the asymmetry is new, accompanied by other symptoms (such as pain, difficulty swallowing, changes in voice, or breathing difficulties), or if there is a noticeable change in size or shape, it would be prudent to consult an ENT specialist for a thorough evaluation. They may perform a physical examination and possibly imaging studies, such as an ultrasound or CT scan, to rule out any potential issues, such as inflammation, tumors, or other abnormalities.

In terms of ENT insights, the thyroid cartilage serves as an important structure in the larynx, providing support and protection for the vocal cords. Any significant changes in the structure or function of the larynx can affect voice quality and respiratory function. Therefore, while slight asymmetry is typically benign, any concerning changes should be evaluated by a healthcare professional.

In summary, slight asymmetry in the thyroid cartilage is generally normal and not a cause for concern. However, if you have any doubts or if the asymmetry is associated with other symptoms, it is always best to seek medical advice to ensure your health and peace of mind. Regular check-ups with an ENT specialist can help monitor any changes and address any concerns you may have regarding your throat and vocal health.

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