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The ligament of Berry is a thick suspensory ligament for the thyroid gland. It is formed by the fusion of the investing fascia with the thyroid capsule posteriorly. The posterior suspensory ligament is a condensation of the middle layer of deep cervical fascia and connects the posterior thyroid to the cricoid cartilage as well as first two tracheal rings.
The thyroid gland is surrounded by a thin layer of fascia that is separate from the thyroid capsule. Posteriorly, this investing fascia fuses with the thyroid capsule, forming a thick suspensory ligament for the thyroid gland known as the ligament of Berry .
The ligament of Berry maybe in two layers with thyroid tissue between the two layers. Because of anteromedial rotation of the thyroid and larynx and trachea, the recurrent laryngeal nerve lies lateral to the Ligament of Berry and deep to the superficial vascular fascial layer.
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