Cervical Approach of a Posterior Mediastinal Goiter: A Case Report

Abstract

Aim: To present a case of posterior mediastinal goiter successfully delivered through the neck approach. Background: Posterior mediastinal goiters are rare, comprising less than 10% of intrathoracic goiters. They usually manifest with compressive symptoms and warrant definitive surgery to relieve symptoms. Majority require the combined cervicothoracic approach to deal with the goiter. Technique: We intend to discuss a case of retrosternal goiter extending predominantly into the posterior mediastinum, which has been purely delivered by cervical incision. Conclusion:The above technique describes successful and safe extraction of the retrosternal goiter extending primarily into the posterior mediastinum via the cervical approach. Clinical significance: The compressive symptoms were completely resolved after surgical management, thus avoiding a morbid procedure like thoracotomy and its associated complications.