Surgical management of mediastinal goiter in the elderly

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Surgical management of substernal goiter.

Seventeen cases of large substernal goiter are reviewed. The commonest clinical features were frequent upper respiratory tract infections, dyspnea and a cervical mass. Five of the patients had previous thyroidectomy. The substernal goiter was located in the right chest in 11 cases, the left chest in five and bilaterally in one case. On computed tomograms it was pretracheal or prevascular in ten...

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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%...

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Preoperative predictors of sternotomy need in mediastinal goiter management.

BACKGROUND The objective of this study was to identify the preoperative risk factors for patients in need of a sternotomy in the management of mediastinal goiters in order to provide better preoperative planning and patient consent. METHODS We analyzed 98 patients who underwent surgery for mediastinal goiters (goiters extending below the thoracic inlet > or =3 cm with the neck in hyperextensi...

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ژورنال

عنوان ژورنال: International Journal of Surgery

سال: 2014

ISSN: 1743-9191

DOI: 10.1016/j.ijsu.2014.08.360