Predictors of Airway Complications After Thyroidectomy for Substernal Goiter

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Predictors of airway complications after thyroidectomy for substernal goiter.

HYPOTHESIS Airway complications after thyroidectomy for substernal goiter can be predicted by preoperative symptom profiles, radiologic findings, or other factors. DESIGN Retrospective review. Settings A university tertiary care center and a veterans' hospital. PATIENTS Sixty patients with substernal goiter who underwent thyroidectomy between 1993 and 2002. MAIN OUTCOME MEASURES Symptoms,...

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Morbidity and mortality of thyroidectomy for substernal goiter.

BACKGROUND Our objective was to evaluate morbidity and mortality of thyroidectomy in substernal goiters and identify patients at risk for these events. METHODS The medical records of 127 patients with substernal goiters were retrospectively reviewed. RESULTS The most common preoperative symptom was shortness of breath (48%). 13% of the 127 patients were asymptomatic. Preoperative imaging id...

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Thyroidectomy for substernal goiter via a mediastinoscopic approach.

We report an unusual case in which a patient presented with a large posterior mediastinal goiter that extended to the level of the aorta. The goiter was resected through a standard Kocher neck incision with mediastinoscopic assistance. The large goiter was completely excised without the need for a sternotomy.

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Preoperative risk factors in total thyroidectomy of substernal goiter

The definition of substernal goiter (SG) is based on variable criteria leading to a considerable variation in the reported incidence (from 0.2% to 45%). The peri- and postoperative complications are higher in total thyroidectomy (TT) for SG than that for cervical goiter. The aim of this study was to evaluate the preoperative risk factors associated with postoperative complications. From 2002 to...

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Complications of thyroidectomy for large goiter

Thyroidectomy is a routinely common practiced surgery. Morbidity and mortality from thyroid surgery are disregarded nowadays and undervalued in the literature. Perioperative risks and complications still exist for large goiters and can be life-threatening. These complications may occur during the anesthesia and intubation, intra-, or postoperatively. We set out through a case of a large cervica...

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2004

ISSN: 0004-0010

DOI: 10.1001/archsurg.139.6.656