444 results match your criteria Thyroid Substernal Goiter


Understanding nationwide readmissions after thyroid surgery.

Surgery 2019 Feb 10;165(2):423-430. Epub 2018 Dec 10.

Department of Surgery, Thyroid and Parathyroid Surgery Program, Thomas Jefferson University Hospital, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Background: The 30-day readmission rate is increasingly utilized as a metric of quality that impacts reimbursement. To date, there are no nationally representative data on readmission rates after thyroid surgery. We aimed to determine national readmission rates after inpatient thyroidectomy operations and whether select clinical factors were associated with increased odds of postthyroidectomy readmission. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00396060183065
Publisher Site
http://dx.doi.org/10.1016/j.surg.2018.09.007DOI Listing
February 2019
4 Reads

The Impact of Goiter and Thyroid Surgery on Goiter Related Esophageal Dysfunction. A Systematic Review.

Front Endocrinol (Lausanne) 2018 20;9:679. Epub 2018 Nov 20.

Department of Endocrinology and Metabolism, Odense University Hospital, Odense, Denmark.

Patients with goiter referred for thyroidectomy report swallowing difficulties. This might be associated with esophageal compression and deviation as this is present in a significant number of patients. Studies on how goiter and subsequently its treatment affect the esophagus are sparse and point in various directions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3389/fendo.2018.00679DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256339PMC
November 2018
1 Read

Can Thyroid Ultrasonography Predict Substernal Extension or Tracheal Compression in Goiters?

Can Assoc Radiol J 2018 Nov;69(4):422-429

Department of Otolaryngology-Head and Neck Surgery, University of Ottawa, Ottawa, Ontario, Canada. Electronic address:

Purpose: To determine whether an ultrasonography (US)-defined thyroid volume can accurately predict substernal extension or tracheal narrowing.

Methods: After research ethics approval, we identified patients with thyroid nodules investigated with both US and computed tomography (CT). Reviewers assigned scores for both substernal extension and tracheal compression on CT using pre-established classification systems. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S08465371183013
Publisher Site
http://dx.doi.org/10.1016/j.carj.2018.07.007DOI Listing
November 2018
5 Reads

Mediastinal ectopic thyroid mass with normal thyroid function and location: Case report.

Int J Surg Case Rep 2018 29;52:5-7. Epub 2018 Sep 29.

King Fahad Military Medical Complex, Dharan, Saudi Arabia. Electronic address:

Introduction: Mediastinal Ectopic Thyroid Gland is a rare entity, accounting for 1% of all mediastinal tumours. Here, we present a rare case of mediastinal mass that was proved to be an ectopic thyroid with normal thyroid function tests and normal thyroid gland in the cervical location.

Case Presentation: A 32-year-old lady had a road traffic accident, with the incidental discovery of a mediastinal mass on chest radiography. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S22102612183040
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2018.09.033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6172445PMC
September 2018
9 Reads

Substernal goiter: Treatment and challenges. Twenty-two years of experience in diagnosis and management of substernal goiters.

Auris Nasus Larynx 2018 Jul 25. Epub 2018 Jul 25.

Department of Otorhinolaryngology, Head and Neck Surgery, University of Crete School of Medicine, Heraklion, Panepistimiou Avenue, 71500, Crete, Greece.

Objective: Descending goiter has been a focus of controversy in thyroid surgery until nowadays. This study aims to investigate the diagnosis and treatment options of thyroid goiters extending into the mediastinum and the thoracic cavity.

Methods And Materials: A retrospective study was conducted assessing all cases of substernal goiter managed in a tertiary care referral center within 22 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anl.2018.07.006DOI Listing
July 2018
3 Reads

Missed thyroid gland after total thyroidectomy.

Turk J Surg 2018 3;34(2):137-139. Epub 2018 Jan 3.

Department of General Surgery, İstanbul University Cerrahpaşa School of Medicine, İstanbul, Turkey.

Missed gland is an extremely rare condition. It is a mediastinal thyroid mass found after total thyroidectomy. We report a case of missed gland. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5152/turkjsurg.2017.3206DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6048645PMC
January 2018
4 Reads

American Thyroid Association Statement on Postoperative Hypoparathyroidism: Diagnosis, Prevention, and Management in Adults.

Thyroid 2018 Jul 29;28(7):830-841. Epub 2018 Jun 29.

9 Department of Head and Neck Surgery, David Geffen School of Medicine at UCLA , Los Angeles, California.

Background: Hypoparathyroidism (hypoPT) is the most common complication following bilateral thyroid operations. Thyroid surgeons must employ strategies for minimizing and preventing post-thyroidectomy hypoPT. The objective of this American Thyroid Association Surgical Affairs Committee Statement is to provide an overview of its diagnosis, prevention, and treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1089/thy.2017.0309DOI Listing
July 2018
4 Reads
4.493 Impact Factor

Substernal Goiter: Correlation between Grade and Surgical Approach.

Am Surg 2018 Feb;84(2):262-266

Substernal goiter is defined as a thyroid growth beyond the thoracic inlet. Using the cross-section imaging CT system, it can be classified into three grades. The aim of the study was to validate the surgical approach and the occurrence of postoperative complications with substernal goiter extension in our patient population. Read More

View Article

Download full-text PDF

Source
February 2018
6 Reads

Medial Approach for the Resection of Goiters with Suprahyoid, Retropharyngeal, or Substernal Extension.

World J Surg 2018 05;42(5):1415-1423

Department of Otolaryngology - Head and Neck Surgery, University of Nevada Las Vegas School of Medicine, 1701 W Charleston Blvd, Suite 490, Las Vegas, NV, 89102, USA.

Background: Resection of massive goiters with suprahyoid, retropharyngeal, and substernal extension may not be amenable to standard approaches. This study evaluates a surgical approach allowing resection of massive goiters with minimal substernal and deep neck dissection.

Methods: Cases of thyroidectomy for goiters with substernal, retropharyngeal, or suprahyoid extension at a single institution from 2006 to 2017 were reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00268-018-4576-zDOI Listing
May 2018
5 Reads

Indications and contraindications to transoral thyroidectomy.

Ann Thyroid 2017 31;2(5). Epub 2017 Oct 31.

Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Patient motivation to avoid neck scarring has been a strong impetus in the development of remote access approaches to the thyroid, including transoral robotic or endoscopic thyroidectomy vestibular approach (TOR/ETVA). TOR/ETVA continues to become more prevalent given its early success in North America and the demonstration of its safety and efficacy in Asia. As more surgeons perform this procedure, it is important that specific and uniform indications and contraindications exist to prevent surgical complications due to poor patient selection. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/aot.2017.10.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788189PMC
October 2017
5 Reads

Rare Undiagnosed Primary Amyloidosis Unmasked During Surgical Treatment of Primary Hyperparathyroidism: A Case Report.

J Endocr Soc 2018 Feb 3;2(2):112-116. Epub 2018 Jan 3.

Division of Surgical Oncology and Endocrine Surgery, Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee 37232.

Primary amyloidosis (PA) is a protein deposition disorder that presents with localized or multisystemic disease. The incidence is low in the general public, ranging from three to eight cases per million, and with nonspecific presenting symptoms typically occurring later in life. Due to late presentation, substantial and irreversible damage has usually already occurred by the time of the diagnosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1210/js.2017-00445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770298PMC
February 2018
14 Reads

Cancer Frequency in Retrosternal Goiter.

Am Surg 2017 Dec;83(12):1390-1393

Retrosternal goiter prevalence is 5 to 40 per cent according to classifications in goiter series. Goiters with mediastinal extension were reported to be related with higher cancer rates. In our study, we aimed to investigate whether cancer incidence increased in retrosternal goiters compared with the cervical ones. Read More

View Article

Download full-text PDF

Source
December 2017
8 Reads

Trans-cervical resection of a separate substernal goitre.

Int J Surg Case Rep 2017 10;41:373-376. Epub 2017 Nov 10.

Department of Surgery, The Northern Hospital, 185 Cooper St, Epping, Victoria, 3076, Australia.

Introduction: A separate substernal goitre which is not continuous with the main cervical thyroid proves a unique challenge for resection. A trans-cervical approach is preferred but may be hazardous due to the possibility of ectopic thyroid tissue with alternate blood supply.

Presentation Of Case: A 72year old female who had a previous left hemithyroidectomy presents with a symptomatic central substernal thyroid mass. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S22102612173057
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2017.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709340PMC
November 2017
5 Reads

Simultaneous unilateral anterior thoracoscopy with transcervical thyroidectomy for the resection of large mediastinal thyroid goiter.

J Thorac Dis 2017 Aug;9(8):2484-2490

Division of Otolaryngology, Department of Surgery, Maimonides Medical Center, Brooklyn, NY, USA.

Background: Almost 25% of thyroid goiters have an intrathoracic component. Although the majority of mediastinal goiters may be approached through a cervical approach, up to a third of substernal goiters require a sternotomy or thoracotomy for resection. As an alternative to conventional sternotomy, we herein describe a combined anterior thoracoscopic and transcervical approach to large mediastinal thyroid goiters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/jtd.2017.07.89DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594122PMC
August 2017
22 Reads

Tracheobronchopathia osteochondroplastica in recurrent retrosternal goiter. Surgical management.

Ann Ital Chir 2017 Sep 4;6. Epub 2017 Sep 4.

Tracheobronchopathia osteochondroplastica (TPO) is a rare pathology characterized by a progressive segmentary stenosis of the respiratory tract due to proliferation of osteocartilagineous nodules in the lumen of the distal part of the trachea and large bronchial trunks. Prognosis is usually benign, but some cases with an acute progression and a lethal outcome have been described. Clinical presentation is non specific, the chest x-ray is generally normal and there are not typical radiological signs of suspicion: diagnosis of TPO is usually incidental. Read More

View Article

Download full-text PDF

Source
September 2017
13 Reads

Safety and Outcomes of the Transoral Endoscopic Thyroidectomy Vestibular Approach.

JAMA Surg 2018 Jan;153(1):21-27

Department of Surgery, University of California, San Francisco.

Importance: Natural orifice transluminal endoscopic surgery thyroidectomy is a novel approach to avoid surgical scars.

Objective: To compare the safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) with those of open thyroidectomy (OT).

Design, Setting, And Participants: This study retrospectively reviewed all TOETVA and OT operations performed from April 1, 2014, through August 31, 2016, at Police General Hospital, Bangkok, Thailand. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamasurg.2017.3366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833624PMC
January 2018
10 Reads

The Value of Preoperative Volumetric Analysis by Computerised Tomography of Retrosternal Goiter to Predict the Need for an Extra-Cervical Approach.

Balkan Med J 2018 01 25;35(1):36-42. Epub 2017 Aug 25.

Clinic of General Surgery, Amerikan Hospital, İstanbul, Turkey.

Background: A thyroidectomy can be performed via a cervical incision in most patients with retrosternal goiter.

Aims: To investigate the correlation between the volume of the mediastinal portion of the thyroid gland and the need for an extra-cervical approach for retrosternal goiter.

Study Design: Diagnostic accuracy study. Read More

View Article

Download full-text PDF

Source
http://balkanmedicaljournal.org/pdf.php?&id=1778
Publisher Site
http://dx.doi.org/10.4274/balkanmedj.2017.0161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820446PMC
January 2018
12 Reads

Assessment and management of cervico-mediastinal goiter.

Eur Ann Otorhinolaryngol Head Neck Dis 2017 Dec 28;134(6):409-413. Epub 2017 Jun 28.

Département d'otorhinolaryngologie et chirurgie cervico-faciale, CHU de Reims, 45, rue Cognacq-Jay, 51092 Reims cedex, France.

Cervico-mediastinal goiter is a particular entity from the point of view of thyroid surgery. Its volume, hardness and intrathoracic extension require the surgeon to adapt technique and perform a painstaking preoperative work-up, so as to draw up fully-fledged plan. CT is now indispensable, to anticipate risks and determine whether sternotomy is needed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anorl.2017.06.001DOI Listing
December 2017
1 Read

Substernal goiter and laryngopharyngeal reflux.

Arch Endocrinol Metab 2017 Jul-Aug;61(4):348-353. Epub 2017 Jun 26.

Disciplina de Cirurgia de Cabeça e Pescoço do Hospital das Clínicas da FMUSP, São Paulo, SP, Brasil.

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 occurred at a tertiary care center (Head and Neck Surgery Department, University of São Paulo Medical School) between 2010 and 2014. The selected thyroidectomies were allocated in two groups for study: patients with substernal goiters and patients with voluminous cervical goiter without thoracic extension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/2359-3997000000266DOI Listing
October 2017
13 Reads

Morbidity of total thyroidectomy for substernal goiter: A series of 70 patients.

J Visc Surg 2018 02 8;155(1):11-15. Epub 2017 Jun 8.

Service de chirurgie digestive et viscérale, hôpital Trousseau, avenue de la République, 37170 Chambray-lès-Tours, France.

Total thyroidectomy for substernal goiter occasionally requires a sternotomy associated with a cervical incision. We sought to analyze the postoperative complications of thyroidectomy for substernal goiters in our center and more precisely the complications related to the sternotomy. All patients who underwent total thyroidectomy for substernal goiter in our center between 2007 and 2016 were reviewed retrospectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jviscsurg.2017.05.006DOI Listing
February 2018
13 Reads

Patient-tailored management of an asymptomatic massive substernal goiter presenting as brachiocephalic vein occlusion. Report of a case and review of sternotomy indications.

Int J Surg Case Rep 2017 4;31:35-38. Epub 2017 Jan 4.

1st Department of Surgery, 401 Army General Hospital of Athens, Greece.

Introduction: Substernal goiters are characterized by the protrusion of at least 50% of the thyroid mass below the level of the thoracic inlet. Still their definition is controversial.

Case Presentation: The case refers to a 44year old male who presented to our department due to swelling and a feeling of 'heaviness' of his left upper extremity for the past 6 months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2017.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5238610PMC
January 2017
9 Reads

Airway Obstruction Caused by Substernal Thyrotoxic Multinodular Goiter.

Tokai J Exp Clin Med 2016 Dec 20;41(4):181-184. Epub 2016 Dec 20.

Department of Medicine, Kanagawa Dental University Graduate School, 82 Inaoka-cho, Yokosuka, Kanagawa 238-8580, Japan.

Background: Substernal thyrotoxic multinodular goiter (MNG) shows signs and symptoms as a result of compression of adjacent organs and thyrotoxicosis. However, acute airway obstruction is rarely caused by substernal thyrotoxic MNG.

Case Report: We have described a 56-year-old Japanese woman who demonstrated acute airway obstruction because of compression of the airway by substernal thyrotoxic MNG. Read More

View Article

Download full-text PDF

Source
December 2016
8 Reads

Diagnostic value of conventional chest radiography in intrathoracic goiters-retrospective analysis of 2570 patients.

Langenbecks Arch Surg 2017 Mar 24;402(2):251-255. Epub 2016 Nov 24.

Endocrine Surgery Department, Hôpital Européen, 6 rue Désirée Clary, 13003, Marseille, France.

Purpose: Since intrathoracic goiters (IG), either cervico-mediastinal goiters (CMGs) or mediastinal nodules (MNs), can lead to sternotomies and/or evitable reoperations, their detection is mandatory before thyroid surgery. A systematic screening by CT scan or MRI is not conceivable because of their expensiveness. We tested if conventional chest radiography (CCR) could remain a good screening tool for IG before thyroid surgery. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00423-016-1534-9
Publisher Site
http://dx.doi.org/10.1007/s00423-016-1534-9DOI Listing
March 2017
22 Reads

Delayed Presentation of Forgotten Thyroid Goiter - 25 Years After Thyroidectomy.

J Coll Physicians Surg Pak 2016 Oct;26(10):858-860

Section of Cardiothoracic Surgery, The Aga Khan University Hospital, Karachi.

Forgotten goiter is a rare occurrence (2 - 16% of retrosternal thyroid cases) that depicts recurrence of retrosternal thyroid mass due to growth of remnant thyroid tissue overlooked during an initial thyroidectomy. The patient is a 59-year female who presented with dyspnea and stridor 25 years after total thyroidectomy. She was diagnosed as having a mediastinal mass on radiographic imaging. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/2458DOI Listing
October 2016
12 Reads

Strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach.

Surg Endosc 2016 11 22;30(11):4721-4730. Epub 2016 Mar 22.

Department of General Surgery, First Affiliated Hospital of Jinan University, Guangzhou, 510630, China.

Background: This study was aimed at exploring the feasibility and strategies of laparoscopic thyroidectomy for treatment of substernal goiter via areola approach.

Methods: A retrospective analysis was conducted to investigate 15 cases of laparoscopic resection of substernal goiter via the areola approach (laparoscopic group) and 12 cases of open resection of substernal goiter via low-neck collar cervical approach (open group) that was completed between December 2012 and December 2014. Operative time, estimated blood loss, postoperative hospitalization and postoperative complication were compared. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00464-016-4814-0DOI Listing
November 2016
23 Reads

Advanced vessel sealing devices in total thyroidectomy for substernal goitre: A retrospective cohort study.

Int J Surg 2016 Nov 28;35:160-164. Epub 2016 Sep 28.

Unit of Endocrine, Digestive, and Emergency Surgery, Department of Biomedical Sciences and Human Oncology, University Medical School "A. Moro" of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy. Electronic address:

Introduction: When total thyroidectomy is performed for substernal goitre, a high risk of morbidity is reported. Advanced vessel sealing devices provide an alternative to the conventional clamp and tie technique. The aim of this study is to compare the outcome of patients who underwent total thyroidectomy for substernal goitre using Ligasure Small Jaw, Harmonic Focus, or conventional technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijsu.2016.09.092DOI Listing
November 2016
13 Reads

Anatomical approach to surgery for intrathoracic goiter.

Eur Arch Otorhinolaryngol 2017 Feb 29;274(2):1029-1034. Epub 2016 Sep 29.

Department of Radiology, Assaf HaRofeh Medical Center, Affiliated To the Sackler Faculty of Medicine, Tel Aviv University, Bat Yam, Israel.

The anatomical approach to the intrathoracic goiter (ITG) was used to understand its etiology and to rationalize surgical technique of thyroidectomy. For a retrospective chart review, we selected cases of multinodular goiter with totally ITGs (n = 69; M 29, F 40), while 916 cases with cervical goiter were used for comparison. The topography of the thyroid gland was assessed against the tracheal rings and against the vertebrae. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-016-4322-9DOI Listing
February 2017
7 Reads

Forgotten goiter: Diagnosis and management. A case report and literature review.

Int J Surg Case Rep 2016 5;27:192-194. Epub 2016 Sep 5.

Florida International University Herbert Wertheim College of Medicine, American University of Antigua College of Medicine, United States. Electronic address:

Introduction: A mediastinal thyroid mass discovered years after a total thyroidectomy represents an unusual and uncommon clinical situation. Few cases have been reported and controversy exists regarding the etiology of this ectopic thyroid tissue as well as the optimal surgical approach for resection. We herein describe a case of a mediastinal thyroid goiter discovered five years after a total thyroidectomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2016.08.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026705PMC
September 2016
10 Reads

Embolization of thyroid arteries in a patient with compressive intrathoracic goiter ineligible to surgery or radioiodine therapy.

Ann Endocrinol (Paris) 2016 Dec 9;77(6):670-674. Epub 2016 Sep 9.

Centre de pathologie et d'imagerie, 14, avenue René-Coty, 75014 Paris, France. Electronic address:

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ando.2016.06.003DOI Listing
December 2016
8 Reads

Spontaneous bleeding from a thyroid adenoma.

Ear Nose Throat J 2016 Jul;95(7):268-73

From the Division of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan (Dr. Liang and Dr. Liu); and the School of Medicine, National Yang-Ming University, Taipei, Taiwan (Dr. Liu).

View Article

Download full-text PDF

Source
July 2016
5 Reads

Retrosternal Goiter: 30-Day Morbidity and Mortality in the Transcervical and Transthoracic Approaches.

Otolaryngol Head Neck Surg 2016 10 24;155(4):568-74. Epub 2016 May 24.

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, New York, USA.

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 and to review the literature regarding the varying indications for the 2 surgical approaches.

Study Design: Administrative database analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0194599816649583DOI Listing
October 2016
8 Reads

An extended toboggan technique for resection of substernal thyroid goiters.

Ear Nose Throat J 2016 Apr-May;95(4-5):175-7

Department of Otolaryngology, Mount Sinai West Hospital, 425 W. 59th St., 10th Floor, New York, NY 10019, USA.

We describe our technique for the safe resection of substernal thyroid goiters. Early mobilization of the thyroid gland from tracheal attachments anteriorly and laterally facilitates extraction of the goiter from the mediastinum. Retrograde dissection through the ligament of Berry on the ipsilateral side can also facilitate identification of the recurrent laryngeal nerve and delivery of the substernal portion of the gland. Read More

View Article

Download full-text PDF

Source
April 2017
13 Reads

Haemostasis in Thyroid Surgery: Collagen-Fibrinogen-Thrombin Patch versus Cellulose Gauze-Our Experience.

Surg Res Pract 2016 25;2016:3058754. Epub 2016 Feb 25.

Department of Medical and Surgical Science, University of Foggia, Luigi Pinto Street 1, 71122 Foggia, Italy.

Purpose. Postoperative hemorrhage is fortunately uncommon but potentially life-threatening complication of thyroid surgery that increases the postoperative morbidity and the hospital stay. In this study we compare the efficacy of collagen patch coated with human fibrinogen and human thrombin (CFTP) (group C) and oxidized regenerated cellulose gauze (group B) versus traditional hemostatic procedures (group A) in thyroid surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2016/3058754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785271PMC
March 2016
7 Reads

Comparison of the results of total thyroidectomy and Dunhill operation in surgical treatment of multinodular goiter.

Indian J Surg 2015 Dec 24;77(Suppl 3):1137-41. Epub 2015 Mar 24.

Student Research Committee, Guilan University of Medical Sciences, Rasht, Iran.

Multi-nodular goiter (MNG) is one of the commonest thyroid gland disease. Surgery is an important treatment option in the presence of indications. There are several alternative procedures for thyroid gland operation such as subtotal thyroidectomy (STT), near-total thyroidectomy (NTT), hemi-thyroidectomy plus subtotal resection (Dunhill procedure), and total thyroidectomy (TT), but the surgical procedure of choice is still under discussion. Read More

View Article

Download full-text PDF

Source
http://www.gums.ac.ir/Upload/Modules/Contents/asset76/articl
Web Search
http://link.springer.com/10.1007/s12262-015-1213-z
Publisher Site
http://dx.doi.org/10.1007/s12262-015-1213-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775626PMC
December 2015
15 Reads

Surgical treatment of substernal goiter: An analysis of 44 cases.

Auris Nasus Larynx 2017 Feb 17;44(1):111-115. Epub 2016 Mar 17.

Department of Otolaryngology-Head and Neck Surgery of the Tokyo Metropolitan Tama Medical Center, Japan.

Objective: Substernal goiters are classified as primary or secondary intrathoracic goiters. Here, we report the diagnosis, symptoms, treatment, and postoperative complications of 44 substernal goiters (2 primary mediastinal goiter and 42 secondary mediastinal goiters).

Methods: A retrospective chart review of 351 patients undergoing thyroidectomy at the Department of Otolaryngology-Head and Neck Surgery of the Tokyo Metropolitan Tama Medical Center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anl.2016.02.016DOI Listing
February 2017
16 Reads

SURGICAL TREATMENT OF NECK AND RETROSTERNAL GOITER, CLINICAL CASE.

Wiad Lek 2015 ;68(4):598-9

Here is a clinical case of neck and retrosternal goiter. We describe the clinical course characteristics and diagnosis of cervical-retrosternal goiter, when intrathoracic goiter was not located by palpation. Read More

View Article

Download full-text PDF

Source
March 2016
2 Reads

Demographics, disparities, and outcomes in substernal goiters in the United States.

Am J Surg 2016 Apr 6;211(4):703-9. Epub 2016 Jan 6.

Thyroid and Parathyroid Surgery Program, Department of Surgery, Thomas Jefferson University, 1100 Walnut St., Suite 500, Philadelphia, PA, USA. Electronic address:

Background: Disparities distinguishing patients with substernal goiters from nonsubsternal goiters have not been thoroughly described.

Methods: The National Inpatient Sample database was used to compare patients who underwent substernal thyroidectomy years 2000 to 2010 with those who underwent thyroidectomy for nonsubsternal goiter.

Results: A total of 110,889 patients underwent thyroidectomy for goiter (5,525 substernal and 105,364 nonsubsternal). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2015.11.022DOI Listing
April 2016
6 Reads

Surgical management of substernal goitres at a tertiary referral centre: A retrospective cohort study of 2,104 patients.

Int J Surg 2016 Mar 2;27:46-52. Epub 2016 Feb 2.

Department of Surgery, Chang Gung Memorial Hospital, Linkou, Taiwan; Chang Gung University, Kwei-Shan Tao-Yuan, Taiwan. Electronic address:

Background: When to use a thoracic approach to treat substernal goitres has often been discussed in the literature. But there are few published reports describing surgical outcomes and associated complications for patients with right-sided vs. left-sided substernal goitres. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijsu.2016.01.032DOI Listing
March 2016
12 Reads

Surgical management of cervico-mediastinal goiters: Our experience and review of the literature.

Int J Surg 2016 Apr 23;28 Suppl 1:S47-53. Epub 2015 Dec 23.

Department of Medicine and Surgery, Thoracic Surgery Unit, University of Salerno, Italy. Electronic address:

Aim: We analyze and discuss the clinical presentation, the diagnostic procedures and the surgical technique in relation to post-operative complications and results in cervico-mediastinal thyroid masses admitted in Thoracic Surgery Unit of AOU Second University of Naples from 1991 to 2006 and in Thoracic Surgery Unit of AOU "S. Giovanni di Dio & Ruggi D'Aragona" of Salerno over a period of 3 years (2011-2014).

Methods: We reviewed 97 patients who underwent surgical treatment for cervico-mediastinal goiters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijsu.2015.12.048DOI Listing
April 2016
28 Reads

Substernal goiter: Experience with 50 cases.

Eur Ann Otorhinolaryngol Head Neck Dis 2016 Feb 29;133(1):19-22. Epub 2015 Oct 29.

Service d'ORL et de chirurgie cervico-faciale, hôpital 20 Août, CHU Ibn-Rochd, Casablanca, Morocco.

Introduction: Goiter is localized or generalized thyroid hypertrophy. It is usually cervical, but may show intra-thoracic development beyond the thoracic inlet and down to the mediastinum: i.e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.anorl.2015.09.007DOI Listing
February 2016
3 Reads

Postoperative Acute Respiratory Failure In Patients Treated Surgically For Goiters.

Pol Przegl Chir 2015 Jul;87(7):331-5

Unlabelled: The aim of the study was to present a clinical picture, treatment and prognosis regarding patients who developed acute respiratory failure (ARF) while treated surgically for a goiter.

Material And Methods: A total of 3810 patients were treated for goiters between 2008 to 2013. Symptoms of postoperative ARF were recognized in 39 (1%) patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1515/pjs-2015-0065DOI Listing
July 2015
9 Reads

Does a combined procedure for cardiac surgery and thyroidectomy offer acceptable outcomes?

Interact Cardiovasc Thorac Surg 2015 Dec 3;21(6):787-91. Epub 2015 Sep 3.

The University of New South Wales, Sydney, Australia Department of Cardiothoracic Surgery, Liverpool Hospital, Sydney, Australia.

This best evidence topic on cardiothoracic surgery was written using a structured protocol. The question addressed was: 'in an adult patient requiring cardiac surgery, can a thyroidectomy for a large retrosternal goitre be performed with good outcomes as a combined procedure?' Of 150 papers identified through the literature search, 16 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, study type, patient group studied, relevant outcomes and results were tabulated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/icvts/ivv241DOI Listing
December 2015
7 Reads

[In Process Citation].

Magy Seb 2015 Aug;68(4):173-5

Fej-Nyaki Daganatok Multidiszciplináris Centrum, Országos Onkológiai Intézet 1124 Budapest, Ráth György utca 7-9.

Introduction: The presence of a substernal goiter which compresses the adjacent structures is per se an indication for resection, mostly total thyreoidectomy should be performed either by a head and neck or general surgeon. In about 1-10% of the cases the goiter is located behind the sternum, and the removal requires different surgical technique.

Materials And Methods: Authors operated 182 patients between 2000-2014 with substernal goiter which all reached the level of the jugulum. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1556/1046.68.2015.4.3DOI Listing
August 2015
3 Reads

Surgery of the thyroid: recent developments and perspective.

Swiss Med Wkly 2015 28;145:w14144. Epub 2015 Jul 28.

Geneva University Hospitals and Faculty of Medicine, Reu Gabrielle Perret-Gentil 4, 1211, Geneva, SWITZERLAND.

In the past century, thyroid surgery has benefited from physiological and technical revolutions. In the early 1900s, the most important aspect of thyroidectomy was the volume resected, without knowledge of exactly what was removed and if there were important structures around the thyroid gland. The main indications were respiratory problems for tracheal compression and the death rate was greater than 36% due to bleeding, infections, unrecognised bilateral recurrent laryngeal nerve lesions and unrecognised severe hypocalcaemia leading to tetany. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4414/smw.2015.14144DOI Listing
March 2016
6 Reads

Substernal goiter: when is a sternotomy required?

J Surg Res 2015 Nov 18;199(1):121-5. Epub 2015 Apr 18.

Section of Endocrine Surgery, Department of Surgery, University of Wisconsin, Madison, Wisconsin; Wisconsin Surgical Outcomes Research (WiSOR) Program, Department of Surgery, University of Wisconsin, Madison, Wisconsin. Electronic address:

Background: Sternotomy for substernal goiters (SSG) is associated with greater morbidity than a cervical approach to thyroidectomy. We sought to identify predictors for sternotomy as a surgical approach for the removal of SSG and analyzed the preoperative and postoperative characteristics of patients with SSG compared with those with large goiters contained entirely within the neck or a cervical goiter.

Methods: A retrospective review of a surgical database was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jss.2015.04.045DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4793957PMC
November 2015
6 Reads

Parathyroid Localization and Preservation during Transcervical Resection of Substernal Thyroid Glands.

Otolaryngol Head Neck Surg 2015 Jun 6;152(6):1024-8. Epub 2015 Apr 6.

Weill Cornell Medical College/New York Presbyterian, Department of Otolaryngology-Head and Neck Surgery, New York, New York, USA

Objective: The feasibility of parathyroid preservation during thyroidectomy has not been well documented for cases in which the thyroid gland extends into the mediastinum.

Study Design: Retrospective chart review.

Setting: Tertiary academic referral center. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0194599815578105DOI Listing
June 2015
19 Reads

Transient palsy of recurrent laryngeal nerve postresection of giant substernal goiter.

Thorac Cardiovasc Surg Rep 2014 Dec 27;3(1):51-4. Epub 2014 Feb 27.

Department of Cardiothoracic Surgery, Second Xiangya Hospital of Central South University, Changsha, Hunan, China ; Key Laboratory of Carcinogenesis and Cancer Invasion, Cancer Research Institute, Xiangya School of Medicine, Central South University, Changsha, Hunan, China.

We report a case of a female patient aged 46 years with a history of nodular goiter for which she had a subtotal thyroidectomy 31 years ago. She was referred to the emergency department of our hospital because of dyspnea and chest pain for 20 days, then developed cyanosis and edema of the head and upper extremities. Chest X-ray revealed tracheal repulsion. Read More

View Article

Download full-text PDF

Source
https://www.thieme-connect.de/products/ejournals/pdf/10.1055
Web Search
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0034-1368099
Publisher Site
http://dx.doi.org/10.1055/s-0034-1368099DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4360679PMC
December 2014
2 Reads

Sternotomy for substernal goiter: retrospective study of 52 operations.

Langenbecks Arch Surg 2015 Apr 19;400(3):301-6. Epub 2015 Feb 19.

Breast and Endocrine Section, Department of Surgery P, Aarhus University Hospital, Tage Hansens Gade 2, 8000, Aarhus, Denmark,

Purpose: Surgical treatment of substernal goiter occasionally involves sternotomy. Classification and handling of these operations are widely discussed. We aimed to review surgical results after thyroid operations including median sternotomy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00423-015-1288-9DOI Listing
April 2015
3 Reads

Computed tomography for preoperative evaluation of need for sternotomy in surgery for retrosternal goitre.

Langenbecks Arch Surg 2015 Apr 4;400(3):293-9. Epub 2015 Jan 4.

Section for Endocrine Surgery and Abdominal Sarcoma, Department of Surgery, Institute of Clinical Sciences, Sahlgrenska University Hospital, University of Gothenburg, Gothenburg, Sweden.

Purpose: The purposes of this study are to evaluate the usefulness of available CT classifications of retrosternal goitre (RSG) to identify patients needing sternotomy and to examine the effect of neck extension on goitre position.

Methods: From the Scandinavian Quality Register for Thyroid and Parathyroid Surgery, all patients treated for RSG at Sahlgrenska (January 2005 through August 2012) were identified. Medical records and preoperative CT scans were retrospectively reviewed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00423-014-1268-5DOI Listing
April 2015
4 Reads

Myasthenic Crisis Manifesting as Postoperative Respiratory Failure following Resection of Unsuspected Intrathoracic Thymic T-Cell Lymphoma during Thyroidectomy for an Adjacent Large Retrosternal Goiter.

Eur Thyroid J 2014 Sep 9;3(3):206-10. Epub 2014 Aug 9.

University of Khartoum, Khartoum, Sudan.

A middle-aged female with a goiter of 10 years' duration presented with progressive pressure symptoms, nocturnal choking and dyspnea on exertion for 5 months. Physical examination demonstrated a large simple multinodular goiter. Imaging revealed a deep retrosternal goiter extending below the tracheal bifurcation with marked tracheal deviation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000364822DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4224263PMC
September 2014
10 Reads