Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case
The decision for median sternotomy for retrosternal goiter is complex and proper consensus are lacking. Generally, it is based on clinical, radiological and intraoperative assessment. Among the few known features include primary mediastinal goiter, posterior mediastinal goiter and recurrent retroste...
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Department of Surgery, UKM Medical Centre
2015
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Online Access: | http://journalarticle.ukm.my/8668/ http://journalarticle.ukm.my/8668/ http://journalarticle.ukm.my/8668/1/18-Khandasamy%2520Y%2520et%2520al..pdf |
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ukm-86682016-12-14T06:47:50Z http://journalarticle.ukm.my/8668/ Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case Khandasamy Y., Nani Harlina ML., Saladina JJ., Rohaizak M., The decision for median sternotomy for retrosternal goiter is complex and proper consensus are lacking. Generally, it is based on clinical, radiological and intraoperative assessment. Among the few known features include primary mediastinal goiter, posterior mediastinal goiter and recurrent retrosternal goiter. We present a patient with posterior mediastinal, secondary goiter that extended until the tracheal bifurcation. The goiter was removed successfully via a low cervical incision and this was achieved by dissecting along the anatomical plane close to the thyroid capsule using blunt dissection with fingers. It is possible for these kinds of high risk retrosternal goitres to be safely removed without the need for thoracotomy when the surgery was performed along the proper plane. Department of Surgery, UKM Medical Centre 2015-06-04 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/8668/1/18-Khandasamy%2520Y%2520et%2520al..pdf Khandasamy Y., and Nani Harlina ML., and Saladina JJ., and Rohaizak M., (2015) Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case. Journal of Surgical Academia, vol.5 (1). pp. 82-84. ISSN 2231-7481 http://jsurgical.com |
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Digital Repository |
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Local University |
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Universiti Kebangasaan Malaysia |
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UKM Institutional Repository |
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Online Access |
language |
English |
description |
The decision for median sternotomy for retrosternal goiter is complex and proper consensus are lacking. Generally, it is based on clinical, radiological and intraoperative assessment. Among the few known features include primary mediastinal goiter, posterior mediastinal goiter and recurrent retrosternal goiter. We present a patient with posterior mediastinal, secondary goiter that extended until the tracheal bifurcation. The goiter was removed successfully via a low cervical incision and this was achieved by dissecting along the anatomical plane close to the thyroid capsule using blunt dissection with fingers. It is possible for these kinds of high risk retrosternal goitres to be safely removed without the need for thoracotomy when the surgery was performed along the proper plane. |
format |
Article |
author |
Khandasamy Y., Nani Harlina ML., Saladina JJ., Rohaizak M., |
spellingShingle |
Khandasamy Y., Nani Harlina ML., Saladina JJ., Rohaizak M., Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case |
author_facet |
Khandasamy Y., Nani Harlina ML., Saladina JJ., Rohaizak M., |
author_sort |
Khandasamy Y., |
title |
Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case |
title_short |
Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case |
title_full |
Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case |
title_fullStr |
Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case |
title_full_unstemmed |
Transcervical Thyroidectomy for Huge Posterior Mediastinal Goitre: A Challenging Case |
title_sort |
transcervical thyroidectomy for huge posterior mediastinal goitre: a challenging case |
publisher |
Department of Surgery, UKM Medical Centre |
publishDate |
2015 |
url |
http://journalarticle.ukm.my/8668/ http://journalarticle.ukm.my/8668/ http://journalarticle.ukm.my/8668/1/18-Khandasamy%2520Y%2520et%2520al..pdf |
first_indexed |
2023-09-18T19:52:55Z |
last_indexed |
2023-09-18T19:52:55Z |
_version_ |
1777406339057713152 |