Techniques, considerations and outcomes for surgical treatment of retrosternal goiter

• Main Author: Kleid S
• Format: Article
• Language: English
• Published: Dove Medical Press 2019-08-01
• Series: Open Access Surgery
• Subjects: Retrosternal; goiter; mediastinal goiter; intrathoracic goiter: shaver debulking
• Online Access: https://www.dovepress.com/techniques-considerations-and-outcomes-for-surgical-treatment-of-retro-peer-reviewed-article-OAS
• ISSN: 1178-7082

Stephen KleidDepartment of Surgery, Otolaryngology/Head & Neck Oncology, Peter MacCallum Cancer Centre, Melbourne, VIC 3183, AustraliaCorrespondence: Stephen KleidPeter MacCallum Cancer Centre, 26 Balaclava Rd, St.Kilda East, Melbourne, VIC 3183, AustraliaTel [phone]Email [e-mail]: Retrosternal goiter (RSG) occurs in 2–26% of thyroidectomies. We do not know why some goitres grow “outwards”, and others grow “inwards”. The features of RSG will be discussed, including the assessment and indications for surgery. Most RSGs can be removed trans-cervically. A novel shaver debulking technique is often effective, so sternotomy or thoracotomy is rarely required.Keywords: retrosternal goiter, thyroidectomies, sternotomy, thoracotomy, larynx, multinodular goiter