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Substernal goiter: Experience with 50 cases.
M Benbakh1, M Abou-elfadl1, S Rouadi1
1Service d'ORL et de chirurgie cervico-faciale, hôpital 20 Août, CHU Ibn-Rochd, Casablanca, Morocco.
European Annals of Otorhinolaryngology, Head and Neck Diseases
|November 2, 2015
Summary
Substernal goiters, while common, can often be managed with a standard cervical surgical approach. This approach proved sufficient in most cases, with no significant increase in postoperative complications due to the substernal extension.
Area of Science:
- Endocrinology
- Surgical Oncology
- Thoracic Surgery
Background:
- Goiter, a thyroid enlargement, can extend into the chest (substernal goiter).
- Understanding the characteristics and management challenges of substernal goiter is crucial.
Purpose of the Study:
- To analyze the epidemiological, clinical, and paraclinical features of substernal goiter.
- To evaluate the management difficulties associated with substernal goiter.
Main Methods:
- Retrospective study of 50 cases.
- Utilized cervical ultrasonography and cervical-thoracic CT scans for diagnosis and assessment of thoracic extension.
- All patients underwent total thyroidectomy via a cervical approach.
Main Results:
- Mean patient age was 47 years; predominantly female (sex ratio 0.06).
- Common symptoms included cervical swelling and compression signs (26 patients).
- Vocal cord palsy noted in 3 patients; 6 cases of malignancy identified.
Conclusions:
- Substernal goiter is relatively common.
- A cervical surgical approach is adequate for the majority of substernal goiters.
- The substernal location did not significantly increase postoperative complications.
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