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[Surgery of substernal thyroid goiter: 32 cases reported]
Jiangang Lü1, Zhigang Li, Shuguan Yu
1Department of Otorhinolaryngology-Head and Neck Surgery, Traditional Chinese Medical Hospital of Zhengzhou, Zhengzhou 450007.
Lin Chuang Er Bi Yan Hou Ke Za Zhi = Journal of Clinical Otorhinolaryngology
|June 21, 2003
Summary
Surgical approaches for substernal thyroid goiter were evaluated. Cervical collar incision is recommended for most substernal thyroid nodules, while malignancy requires further investigation.
Area of Science:
- Thyroid Surgery
- Surgical Oncology
- Head and Neck Surgery
Context:
- Substernal thyroid goiter presents unique surgical challenges.
- Accurate surgical approaches are crucial for successful resection and patient outcomes.
Purpose:
- To investigate and compare surgical techniques for substernal thyroid goiter.
- To determine the efficacy and safety of cervical collar incision versus other approaches.
Summary:
- Thirty-one cases of substernal thyroid goiter were successfully treated using cervical collar incision.
- One case of substernal thyroid cancer required a modified cervical incision with tracheotomy, followed by adjuvant therapy, with a 5-year survival.
- Complication rates included syndrome in 28.1%, recurrent laryngeal nerve damage in 15.6%, and hemorrhage in 9.4%.
Impact:
- Cervical collar incision is advised for the resection of most retrosternal thyroid nodules.
- Further research is needed to optimize surgical strategies for substernal thyroid malignancy.