کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4123049 | 1270451 | 2009 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Technique of total thyroidectomy for large substernal goiters Technique of total thyroidectomy for large substernal goiters](/preview/png/4123049.png)
Large substernal goiters have presented a challenge to surgeons since the beginning of thyroid surgery. With the widespread use of cross-sectional imaging and high-resolution ultrasound, more thyroid pathology is identified every year. In the setting of compressive symptoms, refractory hyperthyroidism, cosmetic concerns, malignancy, or even prophylaxis, thyroidectomy is indicated for large substernal goiters. Our aims are to present (1) the rationale and an algorithm for a concise preoperative assessment for thyroidectomy and (2) a detailed stepwise description of the procedure—emphasizing safety—for a large substernal goiter. This description is complemented by a medical artist's illustrations to emphasize the salient points of dissection. With sound surgical technique, thyroidectomy, although still sometimes quite challenging, may be performed safely, with rare need for median sternotomy, providing great relief to the patient.
Journal: Operative Techniques in Otolaryngology-Head and Neck Surgery - Volume 20, Issue 1, March 2009, Pages 18–22