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A critical analysis of 33 patients with substernal goiter surgically treated by neck incision.

Abstract：

UNLABELLED:The possibility of needing a combined access, with neck and chest incisions makes the treatment of substernal goiter a challenge both in the pre-op and the intraoperative. We hereby, discuss a standardization of the surgical technique to minimize the need for a chest approach, making the substernal goiter a surgically treatable disease, through a single neck incision, and with low indices of complication. AIM:To assess the substernal goiter surgically approach through a neck incision and to analyze the surgical complications. MATERIALS AND METHODS:We carried out a historical cohort by retrospective analysis of the charts of patients submitted to thyroidectomy, and 33 of them (10.4%) had substernal goiter. RESULTS:All 33 patients were surgically treated through a neck incision without the need for sternotomy. We did not observe definitive lesions in the inferior laryngeal nerve or definitive hypoparathyroidism. Only 2 patients had recurrent nerve paresis; and 2 patients were re-operated because of a neck hematoma. CONCLUSION:Patients with substernal goiter can be safely treated surgically through a single neck incision, bearing low complication rates.

journal_name

Braz J Otorhinolaryngol

journal_title

Brazilian journal of otorhinolaryngology

authors

Neves MC,Rosano M,Hojaij FC,Abrahão M,Cervantes O,Andreoni DM

doi

10.1016/s1808-8694(15)30774-6

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

172-6

issue

2

eissn

1808-8694

issn

1808-8686

pii

S1808-8694(15)30774-6

journal_volume

75

pub_type

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