459 results match your criteria Thyroid Substernal Goiter


Substernal Goiter: a case to remember.

Rev Assoc Med Bras (1992) 2020 May;66(2):109-111

. Department of Internal Medicine. Hospital Trofa Saúde Vila Real. Vila Real, Portugal.

Goiter is a localized or generalized thyroid hypertrophy. It can remain within the cervical region or grow down until it invades the mediastinum. The signs and symptoms depend on the size and location of the goiter. Read More

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http://dx.doi.org/10.1590/1806-9282.66.2.109DOI Listing

Surgery for retrosternal goiter: cervical approach.

Gland Surg 2020 Apr;9(2):392-400

Department of Head and Neck Surgery, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610041, China.

Background: Retrosternal goiter refers to when the thyroid gland extends from the neck to the substernal portion, descending below the thoracic inlet into the mediastinum. It is typically accompanied by compressive symptoms, and most patients need to undergo surgery. This retrospective study set out to analyze the surgical approach to retrosternal goiter and to evaluate perioperative complications, with the aim of recommending best surgical technique. Read More

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http://dx.doi.org/10.21037/gs.2020.03.43DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225497PMC

Giant Intrathoracic Goiter of Atypical Presentation: A Case Report.

Clin Pathol 2020 Jan-Dec;13:2632010X20916741. Epub 2020 Apr 23.

Faculty of Health Sciences, Universidad Icesi, Cali, Colombia.

Background: The term goiter is used to describe any abnormal growth of the thyroid gland, which can be diffuse or nodular, and can be associated with normal, diminished, or increased thyroid function. Multinodular goiter is a common disease whose prevalence increases at age 50. Clinical manifestations can be due to thyroid function impairment or related to size and location of the gland with compressive symptoms. Read More

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http://dx.doi.org/10.1177/2632010X20916741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7180302PMC

Thyroid Embryonic Anomalies Involving the Medial and Lateral Anlagen: Two Surgical Case Reports.

Case Rep Surg 2019 5;2019:3174848. Epub 2019 Dec 5.

Department of Surgery, Texas Tech University Health Sciences Center, 1400 S Coulter, Amarillo, TX, USA 79106.

Introduction: An ectopic anomalous accessory thyroid is extremely rare. We present two related case reports.

Case: A 43-year-old morbidly obese female presented with a palpable left thyroid mass. Read More

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http://dx.doi.org/10.1155/2019/3174848DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6915127PMC
December 2019

A not-so-incidental retrosternal goitre.

Br J Hosp Med (Lond) 2019 Dec;80(12):736

Consultant Physician in General Internal Medicine, Department of Medicine, Mayo University Hospital, Castlebar, Co. Mayo, Ireland.

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http://dx.doi.org/10.12968/hmed.2019.80.12.736DOI Listing
December 2019

Surgical approach to the substernal goiter.

Best Pract Res Clin Endocrinol Metab 2019 08 22;33(4):101312. Epub 2019 Aug 22.

Department of Surgery, Head and Neck Service, Memorial Sloan Kettering Cancer Center, 1275 York Ave, C-1064, New York, NY 10021, USA. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1521690X193006
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http://dx.doi.org/10.1016/j.beem.2019.101312DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815725PMC
August 2019
3 Reads

Obstructive retrosternal goitre mimicking severe bronchial asthma in pregnancy.

BMJ Case Rep 2019 Aug 4;12(8). Epub 2019 Aug 4.

Department of Otorhinolaryngology- Head& Neck Surgery, Faculty of Medicine, The National University of Malaysia, Bandar Tun Razak, WP Kuala Lumpur, Malaysia.

Acute airway obstruction in pregnancy remains a challenge to manage. Failure of appropriate and timely airway management may lead to maternal morbidity and mortality such as aspiration pneumonitis or worst hypoxaemic cardiopulmonary arrest. As pregnancy may exacerbate asthma attacks, parturient presenting with wheezing or shortness of breath will commonly be treated as suffering from an asthmatic attack. Read More

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http://dx.doi.org/10.1136/bcr-2019-229763DOI Listing
August 2019
77 Reads

Selective embolization of the thyroid arteries (SETA): Ten years' experience.

Asian J Surg 2019 Aug 14;42(8):847-848. Epub 2019 Jun 14.

Surgical Sciences Department, "Sapienza" University of Rome, Rome, Italy. Electronic address:

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http://dx.doi.org/10.1016/j.asjsur.2019.05.008DOI Listing
August 2019
11 Reads

Presternal Goiter.

J Coll Physicians Surg Pak 2019 Jun;29(6):574-576

Department of Medicine, Ponta Grossa State University (UEPG), Ponta Grossa, Brazil.

An enlarging thyroid normally extends into the mediastinum, resulting in a presternal or substernal goiter, depending on its migration anteriorly or posteriorly, respectively. The first one was a rare entity in medical literature, being previously reported in only 6 cases worldwide. The present case reports a 54-year woman with a presternal goiter. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.06.574DOI Listing
June 2019
7 Reads

Predictors of the need for an extracervical approach to intrathoracic goitre.

BJS Open 2019 04 26;3(2):174-179. Epub 2018 Dec 26.

Department of Otolaryngology - Head and Neck Surgery Guy's and St Thomas' NHS Foundation Trust London UK.

Background: Sternotomy and lateral thoracotomy are required infrequently to remove an intrathoracic goitre (ITG). As few studies have explored the need for an extracervical approach (ECA), the aim of this study was to examine this in a large cohort of patients.

Methods: A prospective database of all patients who had surgery for ITG between 2004 and 2016 was interrogated. Read More

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http://dx.doi.org/10.1002/bjs5.50123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433325PMC
April 2019
1 Read

Ultrasound-Guided Percutaneous Microwave Ablation for Substernal Goiter: Initial Experience.

J Ultrasound Med 2019 Nov 21;38(11):2883-2891. Epub 2019 Mar 21.

Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing, China.

Objectives: To preliminarily evaluate the safety, effectiveness, and feasibility of microwave ablation (MWA) for substernal goiter (SSG) in select patients and to provide a relevant treatment reference for further studies.

Methods: From April 2017 to December 2017, 10 patients with SSG were treated by MWA. All patients were followed for at least 3 months to observe the therapeutic effects and complications. Read More

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http://dx.doi.org/10.1002/jum.14992DOI Listing
November 2019
9 Reads

Retrosternal goiter presenting as deep vein thrombosis of the arm.

Eur Ann Otorhinolaryngol Head Neck Dis 2019 Sep 14;136(4):309-311. Epub 2019 Mar 14.

Department of Otolaryngology-Head and Neck Surgery, Galilee Medical Center, Bar-Ilan University, Faculty of Medicine, Galilee, Israël.

Introduction: Deep vein thrombosis of the upper-extremity (ueDVT) is often caused by trauma to the subclavian vein, central venous line and hypercoagulation disorders.

Case Report: We present a case of a ueDVT due to retrosternal goiter compressing the right brachiocephalic vein. Low molecular weight heparin was initiated subcutaneously and fluid was aspirated from the thyroid cyst causing an immediate improvement. Read More

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http://dx.doi.org/10.1016/j.anorl.2017.11.014DOI Listing
September 2019
27 Reads

Understanding nationwide readmissions after thyroid surgery.

Surgery 2019 02 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

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183065
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http://dx.doi.org/10.1016/j.surg.2018.09.007DOI Listing
February 2019
44 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

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

Surgical management of intrathoracic goitres.

Eur Arch Otorhinolaryngol 2019 Feb 30;276(2):305-314. Epub 2018 Nov 30.

Otorhinolaryngology Head and Neck Surgery, University of Udine School of Medicine, Udine, Italy.

Background: Intrathoracic goitres (ITG) often present with compressive symptoms and require specialised care by experienced surgical teams. Most ITG can be accessed by a transcervical approach (TCA) and only between 1 and 15% will require an extracervical approach (ECA). Many controversies exist regarding the clinical presentation, evaluation, selection of cases for ECA, surgical technique and outcomes. Read More

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http://link.springer.com/10.1007/s00405-018-5213-z
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http://dx.doi.org/10.1007/s00405-018-5213-zDOI Listing
February 2019
30 Reads

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

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https://linkinghub.elsevier.com/retrieve/pii/S08465371183013
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http://dx.doi.org/10.1016/j.carj.2018.07.007DOI Listing
November 2018
34 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

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

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

Auris Nasus Larynx 2019 Apr 25;46(2):246-251. 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

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http://dx.doi.org/10.1016/j.anl.2018.07.006DOI Listing
April 2019
10 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

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

Management of retrosternal goiter: Retrospective study of 72 patients at two secondary care centers.

Auris Nasus Larynx 2019 Feb 13;46(1):129-134. Epub 2018 Jul 13.

Department of Otolaryngology, Head and Neck Surgery, Manukau Surgery Center, Counties Manukau District Health Board, Auckland, New Zealand.

Objective: Data pertaining to the outcomes of retrosternal goiter surgeries performed at secondary care centers, where thoracic surgery expertise is not readily available, is infrequently reported. Careful patient selection is crucial to avoid an unexpected need for a sternotomy during surgery. We sought to evaluate the surgical management of patients with retrosternal goiters treated at two secondary care centers. Read More

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http://dx.doi.org/10.1016/j.anl.2018.06.012DOI Listing
February 2019
12 Reads

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

Thyroid 2018 07 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

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http://dx.doi.org/10.1089/thy.2017.0309DOI Listing
July 2018
22 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

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February 2018
12 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

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http://dx.doi.org/10.1007/s00268-018-4576-zDOI Listing
May 2018
22 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

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http://dx.doi.org/10.21037/aot.2017.10.01DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788189PMC
October 2017
14 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

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http://dx.doi.org/10.1210/js.2017-00445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770298PMC
February 2018
25 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

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December 2017
17 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

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https://linkinghub.elsevier.com/retrieve/pii/S22102612173057
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http://dx.doi.org/10.1016/j.ijscr.2017.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709340PMC
November 2017
12 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

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http://dx.doi.org/10.21037/jtd.2017.07.89DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5594122PMC
August 2017
57 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

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September 2017
20 Reads

Safety and Outcomes of the Transoral Endoscopic Thyroidectomy Vestibular Approach.

JAMA Surg 2018 01;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

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http://dx.doi.org/10.1001/jamasurg.2017.3366DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833624PMC
January 2018
26 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

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http://balkanmedicaljournal.org/pdf.php?&id=1778
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http://dx.doi.org/10.4274/balkanmedj.2017.0161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820446PMC
January 2018
23 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

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http://dx.doi.org/10.1016/j.anorl.2017.06.001DOI Listing
December 2017
27 Reads

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

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http://dx.doi.org/10.1590/2359-3997000000266DOI Listing
October 2017
52 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

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http://dx.doi.org/10.1016/j.jviscsurg.2017.05.006DOI Listing
February 2018
21 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

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http://dx.doi.org/10.1016/j.ijscr.2017.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5238610PMC
January 2017
19 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

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December 2016
19 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

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http://link.springer.com/10.1007/s00423-016-1534-9
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http://dx.doi.org/10.1007/s00423-016-1534-9DOI Listing
March 2017
52 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

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http://dx.doi.org/2458DOI Listing
October 2016
22 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

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http://dx.doi.org/10.1007/s00464-016-4814-0DOI Listing
November 2016
61 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

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http://dx.doi.org/10.1016/j.ijsu.2016.09.092DOI Listing
November 2016
22 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

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http://dx.doi.org/10.1007/s00405-016-4322-9DOI Listing
February 2017
43 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

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http://dx.doi.org/10.1016/j.ijscr.2016.08.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026705PMC
September 2016
39 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:

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http://dx.doi.org/10.1016/j.ando.2016.06.003DOI Listing
December 2016
17 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).

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July 2016
8 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

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http://dx.doi.org/10.1177/0194599816649583DOI Listing
October 2016
15 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

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April 2017
22 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

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http://dx.doi.org/10.1155/2016/3058754DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785271PMC
March 2016
14 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

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http://link.springer.com/10.1007/s12262-015-1213-z
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http://dx.doi.org/10.1007/s12262-015-1213-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775626PMC
December 2015
30 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

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