Management of retrosternal goitres: results of early surgical intervention to prevent airway morbidity, and a review of the english literature

S M Hashmi; D J Premachandra; A M D Bennett; W Parry

doi:10.1017/S0022215106000995

Abstract

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We present our experience and also review the world literature on the management of retrosternal goitres (RSGs). There is now irrefutable evidence that almost all RSGs will continue to grow and eventually cause airway compression. We describe the diagnosis, investigation and surgical approach to the management of this condition.

Crossref Citations

This article has been cited by the following publications. This list is generated based on data provided by Crossref.

White, Matthew L. Doherty, Gerard M. and Gauger, Paul G. 2008. Evidence‐Based Surgical Management of Substernal Goiter. World Journal of Surgery, Vol. 32, Issue. 7, p. 1285.

Burns, P Doody, J and Timon, C 2008. Sternotomy for substernal goitre: an otolaryngologist's perspective. The Journal of Laryngology & Otology, Vol. 122, Issue. 5, p. 495.

Hardy, RG Bliss, RD Lennard, TWJ Balasubramanian, SP Harrison, BJ and Dehn, Tom 2009. Management of Retrosternal Goitres. The Annals of The Royal College of Surgeons of England, Vol. 91, Issue. 1, p. 8.

Jeebun, V. Natu, S. and Harrison, R. 2009. Diagnosis of a posterior mediastinal goitreviaendobronchial ultrasound-guided transbronchial needle aspiration. European Respiratory Journal, Vol. 34, Issue. 3, p. 773.

Abboud, Bassam Sleilaty, Ghassan Mallak, Nadine Abou Zeid, Hicham and Tabchy, Bassam 2010. Morbidity and mortality of thyroidectomy for substernal goiter. Head & Neck, Vol. 32, Issue. 6, p. 744.

Albareda, M Viguera, J Santiveri, C Lozano, P Mestrón, A Bengoa, N Calvet, R Roger, A Pardillo, D Delgado, E and Vila, Ll 2010. Upper airway obstruction in patients with endothoracic goiter enlargement: no relationship between flow-volume loops and radiological tests. European Journal of Endocrinology, Vol. 163, Issue. 4, p. 665.

Hakim, Alex Sather, Curtis Naik, Tej McKenna, Robert J and Kamangar, Nader 2010. Medical Management of the Thoracic Surgery Patient. p. 365.

Testini, Mario Gurrado, Angela Avenia, Nicola Bellantone, Rocco Biondi, Antonio Brazzarola, Paolo Calzolari, Filippo Cavallaro, Giuseppe De Toma, Giorgio Guida, Pietro Lissidini, Germana Loizzi, Michele Lombardi, Celestino Pio Piccinni, Giuseppe Portincasa, Piero Rosato, Lodovico Sartori, Nora Zugni, Chiara and Basile, Francesco 2011. Does Mediastinal Extension of the Goiter Increase Morbidity of Total Thyroidectomy? A Multicenter Study of 19,662 Patients. Annals of Surgical Oncology, Vol. 18, Issue. 8, p. 2251.

Wright, Cameron D. 2011. Cardiothoracic Surgery in the Elderly. p. 569.

Dralle, H. 2011. Behandlungsfehler und Haftpfl icht in der Viszeralchirurgie. p. 195.

Hajhosseini, Babak Montazeri, Vahid Hajhosseini, Lachin Nezami, Nariman and Beygui, Ramin E. 2012. Mediastinal goiter: a comprehensive study of 60 consecutive cases with special emphasis on identifying predictors of malignancy and sternotomy. The American Journal of Surgery, Vol. 203, Issue. 4, p. 442.

Wang, Liang-Shun 2012. Surgical management of a substernal goiter. Formosan Journal of Surgery, Vol. 45, Issue. 2, p. 41.

Riffat, Faruque Del Pero, Marcos Martinez Fish, Brian and Jani, Piyush 2013. Radiologically Predicting When a Sternotomy May Be Required in the Management of Retrosternal Goiters. Annals of Otology, Rhinology & Laryngology, Vol. 122, Issue. 1, p. 15.

Landerholm, K. and Järhult, J. 2015. Should asymptomatic retrosternal goitre be left untreated? A prospective single-centre study. Scandinavian Journal of Surgery, Vol. 104, Issue. 2, p. 92.

Moten, Ambria S. Thibault, Dylan P. Willis, Allison W. and Willis, Alliric I. 2016. Demographics, disparities, and outcomes in substernal goiters in the United States. The American Journal of Surgery, Vol. 211, Issue. 4, p. 703.

Salem, Nagah Mohammed Atwa 2016. Large Thyroid Gland: A Midline Surgical Splitting Approach. Trends in Medical Research, Vol. 12, Issue. 1, p. 45.

Chen, Debbie C. Williams, Donna M. and Aronowitz, Paul B. 2016. Long-Standing Goiter Causing Acute Airway Compromise. Journal of General Internal Medicine, Vol. 31, Issue. 12, p. 1539.

Akheel, Mohammad 2017. Huge Nodular Goitre with Retrosternal Extension- A Rare Case Report. Journal of Otolaryngology-ENT Research, Vol. 7, Issue. 4,

Benmiloud, Fares Grino, Michel Oliver, Charles and Denizot, Anne 2017. Diagnostic value of conventional chest radiography in intrathoracic goiters—retrospective analysis of 2570 patients. Langenbeck's Archives of Surgery, Vol. 402, Issue. 2, p. 251.

Hansen, Lars J Hahn, Christoffer H and Trolle, Waldemar 2018. Asymptomatic Substernal Goiter Reaching the Diaphragm. World Journal of Endocrine Surgery, Vol. 10, Issue. 3, p. 173.

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Article contents

Management of retrosternal goitres: results of early surgical intervention to prevent airway morbidity, and a review of the english literature

Abstract

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This article has been cited by the following publications. This list is generated based on data provided by Crossref.

Article contents

Management of retrosternal goitres: results of early surgical intervention to prevent airway morbidity, and a review of the english literature

Abstract

Keywords

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