A critical analysis of 33 patients with substernal goiter surgically treated by neck incision.

نویسندگان

  • Murilo Catafesta Das Neves
  • Marcello Rosano
  • Flávio Carneiro Hojaij
  • Márcio Abrahão
  • Onivaldo Cervantes
  • Danielle Macellaro Andreoni
چکیده

UNLABELLED The possibility of needing a combined access, with neck and chest incisions makes the treatment of substernal goiter a challenge both in the pre-op and the intraoperative. We hereby, discuss a standardization of the surgical technique to minimize the need for a chest approach, making the substernal goiter a surgically treatable disease, through a single neck incision, and with low indices of complication. AIM To assess the substernal goiter surgically approach through a neck incision and to analyze the surgical complications. MATERIALS AND METHODS We carried out a historical cohort by retrospective analysis of the charts of patients submitted to thyroidectomy, and 33 of them (10.4%) had substernal goiter. RESULTS All 33 patients were surgically treated through a neck incision without the need for sternotomy. We did not observe definitive lesions in the inferior laryngeal nerve or definitive hypoparathyroidism. Only 2 patients had recurrent nerve paresis; and 2 patients were re-operated because of a neck hematoma. CONCLUSION Patients with substernal goiter can be safely treated surgically through a single neck incision, bearing low complication rates.

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عنوان ژورنال:
  • Brazilian journal of otorhinolaryngology

دوره 75 2  شماره 

صفحات  -

تاریخ انتشار 2009