Surgical Approach to the Substernal Goiter

Overview

Journal Best Pract Res Clin Endocrinol Metab

Publisher Elsevier

Specialty Endocrinology

Date 2019 Sep 4

PMID 31477522

Citations 15

Authors

Martin A Hanson

Ashok R Shaha

James X Wu

Affiliations

Soon will be listed here.

Abstract

Surgery for substernal goiters can be technically demanding. Extensive mediastinal extension brings the thyroid gland into close quarters with vital intrathoracic structures. Proper preoperative planning is required to determine the potential need for an extracervical approach. Assessing the risk of requiring an extracervical approach is typically based on findings from cross-sectional imaging of the neck and chest. This article addresses the important anatomical considerations when resecting a large substernal goiter and also reviews various extracervical approaches.

Citing Articles

Non-Surgical Approaches to the Management of the Intrathoracic Goiter-A Systematic Review.

Miani C, Locatello L, Caiazza N, Bergamin-Bracale A, Rigo S, Rugiu M J Pers Med. 2024; 14(11).

PMID: 39590571 PMC: 11595668. DOI: 10.3390/jpm14111079.

Impact of Drain Placement on Postoperative Complications after Thyroidectomy for Substernal Goiter.

Waqar U, Hameed A, Angez M, Kumar S, Arshad H, Siddiqui M Int Arch Otorhinolaryngol. 2024; 28(3):e451-e459.

PMID: 38974637 PMC: 11226246. DOI: 10.1055/s-0043-1777804.

Differences in surgical outcomes between cervical goiter and retrosternal goiter: an international, multicentric evaluation.

Cappellacci F, Canu G, Rossi L, De Palma A, Mavromati M, Kuczma P Front Surg. 2024; 11:1341683.

PMID: 38379818 PMC: 10876881. DOI: 10.3389/fsurg.2024.1341683.

[Clinical application of retrograde thyroidectomy from top to bottom in retrosternal thyroid surgery].

Wu J, Li X, Yao C, Wang D, Liu Y Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023; 37(12):1011-1013.

PMID: 38114323 PMC: 10985699. DOI: 10.13201/j.issn.2096-7993.2023.12.017.

Utility of Novel Clavicle-lifting Technique in Mediastinal Thyroid Surgery: A Case Series Study.

Fuse Y, Kamada T, Suzuki N, Nishide R, Takahashi J, Nakashima K In Vivo. 2023; 37(6):2815-2819.

PMID: 37905650 PMC: 10621430. DOI: 10.21873/invivo.13395.

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