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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Main Authors: Khandasamy Y., Nani Harlina ML., Saladina JJ., Rohaizak M.
Format: Article
Language:English
Published: Department of Surgery, UKM Medical Centre 2015
Online Access:http://journalarticle.ukm.my/8668/
http://journalarticle.ukm.my/8668/
http://journalarticle.ukm.my/8668/1/18-Khandasamy%2520Y%2520et%2520al..pdf
id ukm-8668
recordtype eprints
spelling 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
repository_type Digital Repository
institution_category Local University
institution Universiti Kebangasaan Malaysia
building UKM Institutional Repository
collection 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
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