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Techniques, considerations and outcomes for surgical treatment of retrosternal goiter

Authors Kleid S

Received 26 November 2018

Accepted for publication 26 March 2019

Published 27 August 2019 Volume 2019:12 Pages 13—19

DOI https://doi.org/10.2147/OAS.S166057

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 5

Editor who approved publication: Professor Luigi Bonavina


Supplementary video of "Shaver debulking technique of retrosternal goiter [ID 166057]".

Views: 680

Stephen Kleid

Department of Surgery, Otolaryngology/Head & Neck Oncology, Peter MacCallum Cancer Centre, Melbourne, VIC 3183, Australia

Correspondence: Stephen Kleid
Peter MacCallum Cancer Centre, 26 Balaclava Rd, St.Kilda East, Melbourne, VIC 3183, Australia
Tel +61 41 999 4659
Email skleid@stephenkleid.com

Abstract: 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

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