Emergency Surgical Tracheal Decompression in a Huge Retrosternal Goiter

Surgical treatment of retrosternal goiter.

BACKGROUND The definition of substernal goiter is not uniform and varies among authors. We can define substernal--or retrosternal-goiter a thyroid formation with cervical departure that goes beyond the superior thoracic strait for at least 3 cm and that preserves, generally, the connections between the cervical and thoracic portion, maintaining a direct vascularization supplied by the thyroid a...

The Surgical Management of Retrosternal (Intrathoracic) Goiter

Retrosternal (intrathoracic) goiter has a prevalence of 4 to 20% of patients undergoing thyroidectomy for multinodular goiter. Although it is a condition affecting the older patient with a peak incidence in the sixth decade, the majority should be treated surgically. With few exceptions the operation can be safely accomplished through a cervical approach, only a small minority (approximately 2%...

Tracheal stenosis due to huge adenomatous goiter

Background: Some thyroid anaplastic carcinoma and lymphoma have been reported to cause tracheal stenosis or choking. Begin thyroid tumors with dyspnea due to tracheal stenosis are exceedingly rare. Case presentation: We experienced a huge adenomatous goiter (resected specimen weight: 520g). Total thyroidectomy resolved the dyspnea and there was no tracheomalacia. Postoperative CT confirmed a no...

Retrosternal Goiter

Objective. Retrosternal goiters pose a significant challenge in determining the indications and appropriate approach for surgical removal while limiting postoperative morbidity and mortality. The objective of this study is to use the National Surgical Quality Improvement Program (NSQIP) database to compare outcomes of transcervical and transthoracic approaches for retrosternal goiter removal an...

Retrosternal goiter pdf