Is Cervicotomy Enough for Removal of Retrosternal Goiters?

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dc.contributor.authorOezpolat, Berkant
dc.contributor.authorBueyuekasik, Oktay
dc.contributor.authorOsmanoglu, Celal Goekhan
dc.contributor.authorDogan, Sueheyla
dc.contributor.authorKargici, Huelague
dc.date.accessioned2020-06-25T17:44:15Z
dc.date.available2020-06-25T17:44:15Z
dc.date.issued2008
dc.departmentKırıkkale Üniversitesi
dc.descriptionOzpolat, Berkant/0000-0002-6203-7306
dc.description.abstractAim: The aim of this study was to evaluate the surgical approaches in retrosternal goiters. Materials and Methods: We reviewed 23 patients operated with the diagnosis of retrosternal goiter. Twelve (52%) of the cases were female and 11 (48%) were male. Mean age was 53.8 +/- 10.9 years. Shortness of breath was seen in 12 (52%) of the patients as the most frequent preoperative symptom. On the chest posteroanterior radiography, 18 (78%) cases were found to have tracheal compression. CT images demonstrated retrosternal extension to the level of the aortic arch in all patients. All 23 patients were prepared for a thoracic approach. Results: Among 448 cases operated with the diagnosis of goiter. 23 patients (5.1%) had evidence of retrosternal goiter. Of those 23 patients, only 10 had deep retrosternal extension of the goiter that actually required a thoracic approach. which accounted for 2.2% of all thyroidectomies performed. Total median sternotomy in seven cases, partial sternotomy in two cases and right thoracotomy in one case were performed. Hypoparathyroidism was not detected postoperatively and no hospital mortality occurred. Conclusions: Goiters extending to the mediastinum can be excised successfully by cervical incision. Thoracic approach has an excellent outcome, achieving a safe resection and relieving all symptoms, especially in large or recurrent goiters extending to the mediastinum and with close relation to mediastinal structures.en_US
dc.identifier.citationÖzpolat, B., Büyükaşık, O., Osmanoğlu, C. G., Doğan, S., Kargıcı, H. (2008). Is cervicotomy enough for removal of retrosternal goiters?. Turkish Journal of Medical Sciences, 38(6), 561 - 565.en_US
dc.identifier.endpage565en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-56849102215
dc.identifier.scopusqualityQ1
dc.identifier.startpage561en_US
dc.identifier.trdizinid85425
dc.identifier.urihttps://hdl.handle.net/20.500.12587/4056
dc.identifier.volume38en_US
dc.identifier.wosWOS:000262928800010
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.publisherTubitak Scientific & Technical Research Council Turkeyen_US
dc.relation.ispartofTurkish Journal Of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGoiteren_US
dc.subjectintrathoracicen_US
dc.subjectthyroid diseaseen_US
dc.titleIs Cervicotomy Enough for Removal of Retrosternal Goiters?en_US
dc.typeArticle

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