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Substernal Thyroid Biopsy Using Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
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Combined Transcervical and Median Sternotomy Approach for a Massive Substernal Goiter
Alexander E Graf1, Alexandrea J Beemer2, Rahul D Gulati1
1Department of Otolaryngology, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203 USA.
Abstract:
Herein, we describe a combined transcervical and median sternotomy approach for a massive substernal goiter causing tracheal stenosis. A goiter of this size, specifically weighing 630 g, is rare. We advocate for a multidisciplinary approach for airway management and for consideration of awake fiberoptic intubation with tracheosomy avoidance for similar patients.

