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

Abstract

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.

Intermittent neural monitoring of the recurrent laryngeal nerve in surgery for recurrent goiter

“…A huge goiter could also be involved in this type of dislocation (14,44,51). The remnant retrosternal thyroid mass, often missed during the first procedure, subsequently grows, moving the nerve to the inferior part of the goiter (Figure 2).…”

A Giant Intrathoracic Goiter

“…Total thyroidectomy is mostly preferable in patients with a life expectancy of more than 10 years [12]. Surgical intervention is performed mainly by cervicotomy [1]. In this case, we demonstrated additional extracervical resection (submammary anterolateral thoracotomy on the right), which avoids damage to surrounding tissues and allows en block resection.…”

“…The primary ones are rare and have neither a fibrous nor a parenchymal connection with the cervical part of the gland. Secondary goiters, which occur in over 99% of cases, are formed as a result of descending growth of the thyroid gland and are supplied with blood by the cervical branches of the thyroid arteries [1,8,10]. Etiologically, 85% -95% of retrosternal thyroid formations are benign (goiter) and occur as a result of iodine deficiency [8].…”

“…Giant goiters are of interest both from a diagnostic and from a surgical point of view. Secondary retrosternal (intrathoracic) goiters develop as a result of the descended growth of mediastinal goiters [1]. Ultrasound of the neck and thorax, conventional roentgenography and computed tomography are the first imaging techniques to the proper diagnosis.…”

Goiter Multinodul dengan Pelebaran ke Retrosternal: Laporan Kasus

“…2 Goiter retrosternal dapat menyebabkan gangguan pernapasan, disfagia, kompresi vaskular, dan bahkan menimbulkan kematian mendadak. [3][4][5] Kondisi tersebut tidak jarang dan risiko keganasan antara 3-21%. Operasi pengangkatan goiter substernal dapat dilakukan dengan pendekatan servikal pada sebagian besar pasien.…”