Retrosternal extension of goiter is one the most common types masses in superior mediastinum. These goiters classically present with compressive symptoms such as dyspnoea, dysphonia, dysphagia, or sleep apnea. Surgical treatment a total thyroidectomy and complete removal intrathoracic portion thyroid gold standard treatment. cervico-mediastinal lesions at times may not be continuous, sternotomy...

Combined cervicothoracical vascular traumas are very uncommon, mostly resulting from penetrating injuries. These injuries are accompanied with very high morbidity and mortality rates. In this manuscript we present a case of hemodinamycally unstable trauma patient whose major injury was penetrating trauma of both cervical and mediastinal major vessels. The standard surgical approach of median st...

BACKGROUND In cervical anterior approach, transverse skin incision is preferred due to cosmetic reasons. Precise skin incision is required to reach the surgery segment while minimizing soft tissue injury. Skin incision site is frequently identified using C-arm fluoroscopy or the carotid tubercle. Accordingly, this study was conducted to investigate the efficacy of skin incision using the caroti...

This study was carried out to evaluate the clinical presentation, surgical treatment, complications, and risk of malignancy for large substernal goiter. From March 2010 to December 2012, 12 patients with large substernal thyroid goiter who underwent surgery in our Department were enrolled in the study. Their medical records were retrospectively analyzed. Collar-shaped incision was adequate for ...

"Forgotten" goiter is an extremely rare disease which is defined as a mediastinal thyroid mass found after total thyroidectomy. The authors report their experience of 7 cases of residual mediastinal goiter after total thyroidectomy for substernal goiter. Six patients were female and one male with a median age of 56 years (range: 25-70 years). Four patients were asymptomatic, 2 patients showed s...

INTRODUCTION Single incision laparoscopic surgery is being used as an access route for an increasing breadth of surgical cases. However, its use to evaluate and manage postoperative hemorrhage after laparoscopic surgery has not been reported. CASE DESCRIPTION A patient with recurrent cervical dysplasia who had undergone 2 previous cold knife conizations underwent a single incision total lapa...

OBJECTIVE Acupuncture therapy effectively reduces post-surgical pain, but its mechanism of action remains unclear. The aim of this study was to investigate whether expression of γ-aminobutyric acid (GABA) and the neuropeptides substance P (SP) and calcitonin gene-related peptide (CGRP) in the primary sensory neurons of cervical dorsal root ganglia (DRG) are involved in electroacupuncture (EA)-i...

A 44-year old man presented with increased shortness of breath. A chest X-ray revealed a widening of the mediastinum (Fig. 1a). Magnetic resonance imaging demonstrated a right paratracheal tumour (Fig. 1b, c). Rotational arteriography showed that the right thyrocervical artery was supplying the mass (Fig. 1d). He underwent a right cervical incision and thoracotomy resection of the mass. Histolo...