INDICATIONS FOR SURGERY AND TECHNICAL PECULIARITIES OF THYROIDECTOMY IN PATIENTS WITH RETROSTERNAL GOITER

Indications to total thyroidectomy for multinodular goiter in old patients

Background In Western society, the percentage of elderly people is continually growing. The prevalence of goiter increases with the age and it is estimated that 90% of women over 60 years old and 60% of men over 80 years old have a relief of thyroid nodules. This has great importance for these patients, because the incidence of malignant transformation is higher than younger ones and these are ...

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...

Case Report on Table Extubation of a Patient with Tracheomalacia after Thyroidectomy for large Retrosternal Goiter

Anesthetic management of patients with retrosternal goiter remains challenging as acute airway compromise may occur both during induction and recovery of anesthesia. We report the case of a 51 year old lady with retrosternal goiter and tracheal deviation who underwent total thyroidectomy. Comprehensive contingency plans were an essential prerequisite for successful management of difficult airwa...

Retrosternal goiter pdf

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...