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Otolaryngol Head Neck Surg. 2005 Jun;132(6):849-51.

The surgical approach to retrosternal goiters: the role of computerized tomography.

Author information

1
Department of Otorhinolaryngology, University Hospital of North Staffordshire, City General Hospital, Stoke-on-Trent, United Kingdom. joegrainger@fsmail.net

Abstract

OBJECTIVE:

To assess preoperative CT scans of patients with a retrosternal goiter, with an objective of identifying features that are likely to predict the need for sternotomy at operation.

STUDY DESIGN AND SETTING:

A retrospective review of clinical notes and CT scans of patients who underwent thyroidectomy for retrosternal goiter at a large district general hospital in the United Kingdom between 1998 and 2002.

RESULTS:

Extension of the goiter to the level of the aortic arch, particularly when combined with tracheal involvement or major vessel displacement, increases the likelihood of requiring median sternotomy.

CONCLUSIONS:

Most retrosternal goiters can be approached through a cervical incision alone. However, extension of the goiter to the level of the aortic arch does appear to increase the likelihood of requiring sternotomy.

SIGNIFICANCE:

In such cases in which sternotomy is anticipated, the availability of cardiothoracic services would be helpful to avoid patient morbidity.

PMID:
15944553
DOI:
10.1016/j.otohns.2005.01.039
[Indexed for MEDLINE]

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