Surgical management of primary intrathoracic goiters

“…However, this definition lacks anatomic precision and can be misinterpreted. More precise definitions of RG have been suggested, namely: a goiter lying two fingerbreadths below the thoracic inlet with the patient in a supine position, [26] a goiter reaching the aortic arch, [27] or the carinae tracheae, [28] a goiter with its inferior pole passing through the cervico-thoracic isthmus below the subclavian vessels. Several classification systems have also been developed to better classify RG.…”

Section: Section: Surgerymentioning

confidence: 99%

Congenital Anomalies and Anatomical Aberrations in Head & Neck Oncology– A Single Institution Experience

Subbiah¹,

Gopu²,

Hussain³

et al. 2018

AIMDR

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Background: Congenital anomalies are defined as structural or functional anomalies that occur during intrauterine life. Awareness of such variations will decrease intraoperative dilemma and complications. In this article, we have presented our experience in congenital anomalies and anatomical aberrations in head and neck malignancies. We have reviewed the literature and discussed relevant embryology and their clinical significance. Methods: All patients with head and neck malignancies operated at our institution in the past three years, who had congenital anomalies and anatomical aberrations detected during preoperative evaluation or intraoperatively were included in this study. Results: Seven types of congenital anomalies were encountered, with most common anomaly being the aberrations in the pattern of facial nerve branches (47.6%). Thyroglossal cyst and non-recurrent laryngeal nerves were the next common anomalies noted (14.2%). Preoperative suspicion and diagnosis were evident in three patients. Conclusion: Though rare, congenital anomalies may pose significant challenges to the surgeon. Since most of them are noticed intraoperatively, a thorough knowledge of anatomy and its variation will help prevent injury to these structures. When promptly recognized and appropriately dealt, congenital anomalies do not produce surgical morbidity.

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“…El abordaje cervicotorácico se indica en casos de bocio intratorácico primario o bocios con extensión al mediastino posterior. Los abordajes combinados de cervicotomía más esternotomía o cervicotomía más toracotomía son los más mencionados en la literatura (4,6,7).…”

Section: Introductionunclassified

Bocio del mediastino posterior - abordaje mínimamente invasivo: videotoracoscopia derecha más cervicotomía

Rodríguez-Ramos¹,

Acevedo-Mejía²,

González³

et al. 2016

CES Med

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La cirugía es el manejo recomendado para el bocio intratorácico y cerca de un 90 % de ellos pueden resecarse mediante cervicotomía. El bocio en el mediastino posterior ha sido manejado satisfactoriamente empleando diversos abordajes cervicotorácicos, existiendo poca información en la literatura acerca del uso de la videotoracoscopia como parte de estas técnicas combinadas. Presentamos el caso de un paciente con un bocio intratorácico con extensión a mediastino posterior, en quien, dadas las características de la masa y su localización, sumado a las ventajas ampliamente conocidas de la cirugía mínimamente invasiva, se decide remplazar la toracotomía y la esternotomía por la videotoracoscopia, permitiendo una buena exposición y disección segura del mediastino. Consideramos que la videotoracoscopia es una técnica segura y efectiva en casos seleccionados de pacientes con bocio con extensión a mediastino posterior.

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Surgical management of primary intrathoracic goiters

Cited by 6 publications

References 8 publications

Positron Emission Tomography/Computed Tomography in Mediastinal Masses

Positron Emission Tomography/Computed Tomography in Mediastinal Masses

Congenital Anomalies and Anatomical Aberrations in Head & Neck Oncology– A Single Institution Experience

Bocio del mediastino posterior - abordaje mínimamente invasivo: videotoracoscopia derecha más cervicotomía

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