A critical analysis of 33 patients with substernal goiter surgically treated by neck incision

Neves, Murilo Catafesta das; Rosano, Marcello; Hojaij, Flávio; Abrahão, Márcio; Cervantes, Onivaldo; Andreoni, Danielle M.

doi:10.1016/s1808-8694(15)30774-6

Cited by 10 publications

(10 citation statements)

References 10 publications

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“…Sternotomy is performed in about 0-11% of cases. This wide range may be explained by the lack of a common SG definition (2,5,6,(11)(12)(13). In this study, sternotomy or thoracotomy were not applied, all patients were operated through cervical approach.…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Cervical Approach to Substernal Goiter: Do we Need Sternotomy? Cerrahpaşa Experience

Teksöz¹,

Bükey²,

Ulusan³

et al. 2013

Tjem

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Abs tractPurpose: The purpose of this study was to evaluate the clinical and surgical differences between substernal goiter and non substernal goiter according to institutional experience. Material and Method:Twenty-nine patients with substernal goiter and 62 randomly chosen non substernal goiter patients from January 2009 to October 2012 were compared retrospectively according to their pre-operative and post-operative data. Cervical approached total thyroidectomy was applied to patients with substernal goiter. Results:Thirteen of twenty-nine substernal goiter patients were male (44.8%) and 16 were female (55.2%). Body mass index, age, gender in both groups were compared and found to be similar. No post-operative complication was observed. Pathology results revealed malignancy in 24.1% of patients. Discussion:Patients with substernal goiter can be safely treated through the cervical approach with low complication rates in expert hands. Turk Jem 2013; 17: 116-20

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Section: Discussionmentioning

confidence: 96%

“…Sternotomy is performed in about 0 to 11% cases. This wide range may be explained by the absence of a common SG definition (6,7,(10)(11)(12)(13). Most of the SG studies have been published as series of author's self-experience, evaluation of their own surgical techniques and comparison of other studies on SG.…”

Section: Introductionmentioning

confidence: 99%

Cervical Approach to Substernal Goiter: Do we Need Sternotomy? Cerrahpaşa Experience

Teksöz¹,

Bükey²,

Ulusan³

et al. 2013

Tjem

View full text Add to dashboard Cite

show abstract

“…Though retrosternal goiters are classified as either primary or secondary, the primary goiter is an exceptional finding and this group represents approximately 1% of retrosternal goiter. The vast majority of retrosternal goiter are secondary, which originate from the downward extension of the gland along the planes of the cervical and mediastinal fascia [9] . The blood supply arises principally from the inferior thyroid arteries and most of the venous return is through the inferior thyroid veins.…”

Section: Discussionmentioning

confidence: 99%

Surgical approach and technique in retrosternal goiter: Case report and review of the literature

Sheng

Ren

2016

Annals of Medicine &Amp; Surgery

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BackgroundRetrosternal goiter is defined as a thyroid mass of which more than 50% is located below the thoracic inlet. The aim of this study is to assess the retrosternal goiter surgically approach through a neck incision and analyze the surgical technique.Case presentationThe case reported by us used a single neck collar-shaped incision for huge retrosternal goiter with good outcome. The patient was surgically treated through a neck incision without the need for sternotomy or lateral thoracotomy. We did not observe definitive lesions in the inferior laryngeal nerve or definitive hypoparathyroidism.ConclusionsPatients with retrosternal goiter can be safely treated surgically through a single neck incision, which is less trauma and recovery quickly.

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“…Radioactive iodine is generally ineffective in decreasing goiter size and may cause acute inflammation, swelling of the glands, and an increase in the potential of airway obstruction. [ 6 7 8 9 ]…”

Section: Introductionmentioning

confidence: 99%

“…In most cases, surgery is carried out using a collar incision. [ 6 7 8 9 10 11 12 13 ] Only 2% of patients who are considered for retrosternal goiter surgery may need another type of incision such as manubriotomy, sternotomy, or thoracotomy. [ 14 15 16 17 18 ]…”

Section: Introductionmentioning

confidence: 99%

An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter

Aghajanzadeh

Asgary

Mohammadi

et al. 2018

J Family Med Prim Care

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Introduction:Retrosternal goiter refers to any thyroid enlargement in which over 50% of the thyroid permanently located under the thoracic inlet or the lower pole of thyroid is not palpable with the neck in hyperextended position. Due to the increasing number of surgical procedures of retrosternal goiter, the present study was carried out to examine the symptoms, diagnosis, treatment, and treatment complications in retrosternal goiter patients.Materials and Methods:Data related to demographic data (age and gender), clinical symptoms (dyspnea, dysphagia, dysphonia, lumps in neck, and hoarseness), methods of diagnosis (computed tomography [CT], chest X-ray [CXR], ultrasonography, and magnetic resonance imaging), and postoperative complications (bleeding, early and late dysphonia, early and late dyspnea, transient and permanent hypocalcemia, transient, and permanent recurrent laryngeal nerve paralysis) were collected.Results:According to the results 71.4% of patients were women and most of the participants (67.1%) aged 45–60 years. Mass in the neck was the most frequent symptoms before surgery (88.6%). The most common incision for thyroidectomy (95/7%) was neck Collar incision. Diagnosis method in 82.9% and 17.1% of cases was, respectively, based on CT scans with CXR and CT scans with CXR and ultrasound. According to the postoperative pathologic findings, 58.5% of the cases were multinodular goiter, 22.9% were papillary cell carcinoma, 7.1% were medullary carcinoma, 5.7% were anaplastic carcinoma, 5.7% were thyroid lymphoma, and only 1.4% were thyroid adenoma. Postoperative complications occurred in 47.14% of patients. Most common complication was early transient dysphonia.Conclusion:This study recommends that retrosternal goiter should be operated early under suitable conditions, and the best diagnosis tool and best surgery methods are CT scan and surgery with collar incision, respectively.

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A critical analysis of 33 patients with substernal goiter surgically treated by neck incision

Abstract: Patients with substernal goiter can be safely treated surgically through a single neck incision, bearing low complication rates.

Cited by 10 publications

References 10 publications

Cervical Approach to Substernal Goiter: Do we Need Sternotomy? Cerrahpaşa Experience

Cervical Approach to Substernal Goiter: Do we Need Sternotomy? Cerrahpaşa Experience

Surgical approach and technique in retrosternal goiter: Case report and review of the literature

An investigation into symptoms, diagnosis, treatment, and treatment complications in patients with retrosternal goiter

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