OBJECTIVE This study aims to compare the prevalence of laryngopharyngeal reflux signs between two groups of patients undergoing thyroidectomy for voluminous goiter: substernal goiters and voluminous cervical goiter without thoracic extension. SUBJECTS AND METHODS A retrospective case-control study was performed with data retrieved of the charts of the patients submitted to thyroidectomies occ...

Goiter is an enlargement of the thyroid gland which can be associated with a number of complications both for mother and fetus. A 34-year-old pregnant woman with normal function was referred to our Department Obstetrics and Gynecology at Microcitemico Pediatric Hospital, Cagliari, suspected fetal goiter 32 gestational weeks. The case monitored regularly by ultrasound and treated successfu...

We describe two cases of fetal goiter in women with no history of thyroid disease. Diagnosis of fetal goiter during antenatal care was made by ultrasound and MRI. Congenital hypothyroidism was confirmed by fetal blood sampling that was treated with weekly intra-amniotic injections of L-thyroxin. One fetus was initially treated with four weekly intra-amniotic injections of 200 μgms of L-thyroxin...

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...

Introduction: Indications for thoracotomy or sternotomy are very rare or exceptional in surgery plunging goiter. Through our experience about 10 patients we wanted to discuss the difficulty in choosing the surgical approach to this rare condition. Materials and Methods: This is a retrospective descriptive study covering the period January 2009 to June 2016, in the thoracic surgery department in...

BACKGROUND Retrosternal 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 PRESENTATION The case reported by us used a single neck collar-shaped incision for huge retrosternal goiter with good outcome. The ...

BACKGROUND We report a rare case of a mediastinal goiter confined to the thoracic inlet and cavity presenting with ventricular tachycardia as the sole clinical manifestation. METHODS AND RESULTS The patient did not have any of the typical features of a mediastinal goiter such as neck swelling, dysphagia, or respiratory difficulty, but instead had spontaneous onset of wide-complex tachycardia ...

BACKGROUND AND PURPOSE The incidence of retrosternal goiter (RSG) varies from 2% to 26% of all thyroidectomies, depending on the defining criteria. There are no clear guidelines to identify patients that require an intrathoracic approach. So, we tried to correlate, between the size and/or anatomical site of the RSG based on preoperative CT findings and the surgical approaches used, aiming at de...