Surgical management of substernal goiter

Liang Shun Wang, Sen Ei Shai, Huei Jyh Fahn, Kwok Hon Chan, Min Shen Chen, Min Shiun Huang

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Seventeen cases of large substernal goiter are reviewed. The commonest clinical features were frequent upper respiratory tract infections, dyspnea and a cervical mass. Five of the patients had previous thyroidectomy. The substernal goiter was located in the right chest in 11 cases, the left chest in five and bilaterally in one case. On computed tomograms it was pretracheal or prevascular in ten cases and retrovascular in seven. Tracheal deviation was present in 15 cases, causing tracheal compression or stenosis in 14. Thyroidectomy was performed on all 17 patients (8 subtotal, 9 total) through a low transverse collar incision. The recommended technique for substernal goiter extending from the neck to a level below the subcarinal region includes concomitant finger dissection and upward traction of the cervical thyroid through the subcapsular plane, with obliteration of the postresection substernal dead space by sutures. Follow-up radiography showed that all the deviated tracheas had resumed near normal position 2-3 months postoperatively and the average diameter of the compressed tracheas had increased significantly.

Original languageEnglish
Pages (from-to)79-83
Number of pages5
JournalScandinavian Cardiovascular Journal
Volume28
Issue number2
DOIs
Publication statusPublished - 1994
Externally publishedYes

Fingerprint

Substernal Goiter
Thyroidectomy
Trachea
Thorax
Traction
Radiography
Respiratory Tract Infections
Dyspnea
Sutures
Fingers
Dissection
Thyroid Gland
Pathologic Constriction
Neck

Keywords

  • Substernal goiter
  • Thyroidectomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Wang, L. S., Shai, S. E., Fahn, H. J., Chan, K. H., Chen, M. S., & Huang, M. S. (1994). Surgical management of substernal goiter. Scandinavian Cardiovascular Journal, 28(2), 79-83. https://doi.org/10.3109/14017439409100167

Surgical management of substernal goiter. / Wang, Liang Shun; Shai, Sen Ei; Fahn, Huei Jyh; Chan, Kwok Hon; Chen, Min Shen; Huang, Min Shiun.

In: Scandinavian Cardiovascular Journal, Vol. 28, No. 2, 1994, p. 79-83.

Research output: Contribution to journalArticle

Wang, LS, Shai, SE, Fahn, HJ, Chan, KH, Chen, MS & Huang, MS 1994, 'Surgical management of substernal goiter', Scandinavian Cardiovascular Journal, vol. 28, no. 2, pp. 79-83. https://doi.org/10.3109/14017439409100167
Wang, Liang Shun ; Shai, Sen Ei ; Fahn, Huei Jyh ; Chan, Kwok Hon ; Chen, Min Shen ; Huang, Min Shiun. / Surgical management of substernal goiter. In: Scandinavian Cardiovascular Journal. 1994 ; Vol. 28, No. 2. pp. 79-83.
@article{e7df0816939c478482b0a9a5a59da84f,
title = "Surgical management of substernal goiter",
abstract = "Seventeen cases of large substernal goiter are reviewed. The commonest clinical features were frequent upper respiratory tract infections, dyspnea and a cervical mass. Five of the patients had previous thyroidectomy. The substernal goiter was located in the right chest in 11 cases, the left chest in five and bilaterally in one case. On computed tomograms it was pretracheal or prevascular in ten cases and retrovascular in seven. Tracheal deviation was present in 15 cases, causing tracheal compression or stenosis in 14. Thyroidectomy was performed on all 17 patients (8 subtotal, 9 total) through a low transverse collar incision. The recommended technique for substernal goiter extending from the neck to a level below the subcarinal region includes concomitant finger dissection and upward traction of the cervical thyroid through the subcapsular plane, with obliteration of the postresection substernal dead space by sutures. Follow-up radiography showed that all the deviated tracheas had resumed near normal position 2-3 months postoperatively and the average diameter of the compressed tracheas had increased significantly.",
keywords = "Substernal goiter, Thyroidectomy",
author = "Wang, {Liang Shun} and Shai, {Sen Ei} and Fahn, {Huei Jyh} and Chan, {Kwok Hon} and Chen, {Min Shen} and Huang, {Min Shiun}",
year = "1994",
doi = "10.3109/14017439409100167",
language = "English",
volume = "28",
pages = "79--83",
journal = "Scandinavian Cardiovascular Journal",
issn = "1401-7431",
publisher = "Informa Healthcare",
number = "2",

}

TY - JOUR

T1 - Surgical management of substernal goiter

AU - Wang, Liang Shun

AU - Shai, Sen Ei

AU - Fahn, Huei Jyh

AU - Chan, Kwok Hon

AU - Chen, Min Shen

AU - Huang, Min Shiun

PY - 1994

Y1 - 1994

N2 - Seventeen cases of large substernal goiter are reviewed. The commonest clinical features were frequent upper respiratory tract infections, dyspnea and a cervical mass. Five of the patients had previous thyroidectomy. The substernal goiter was located in the right chest in 11 cases, the left chest in five and bilaterally in one case. On computed tomograms it was pretracheal or prevascular in ten cases and retrovascular in seven. Tracheal deviation was present in 15 cases, causing tracheal compression or stenosis in 14. Thyroidectomy was performed on all 17 patients (8 subtotal, 9 total) through a low transverse collar incision. The recommended technique for substernal goiter extending from the neck to a level below the subcarinal region includes concomitant finger dissection and upward traction of the cervical thyroid through the subcapsular plane, with obliteration of the postresection substernal dead space by sutures. Follow-up radiography showed that all the deviated tracheas had resumed near normal position 2-3 months postoperatively and the average diameter of the compressed tracheas had increased significantly.

AB - Seventeen cases of large substernal goiter are reviewed. The commonest clinical features were frequent upper respiratory tract infections, dyspnea and a cervical mass. Five of the patients had previous thyroidectomy. The substernal goiter was located in the right chest in 11 cases, the left chest in five and bilaterally in one case. On computed tomograms it was pretracheal or prevascular in ten cases and retrovascular in seven. Tracheal deviation was present in 15 cases, causing tracheal compression or stenosis in 14. Thyroidectomy was performed on all 17 patients (8 subtotal, 9 total) through a low transverse collar incision. The recommended technique for substernal goiter extending from the neck to a level below the subcarinal region includes concomitant finger dissection and upward traction of the cervical thyroid through the subcapsular plane, with obliteration of the postresection substernal dead space by sutures. Follow-up radiography showed that all the deviated tracheas had resumed near normal position 2-3 months postoperatively and the average diameter of the compressed tracheas had increased significantly.

KW - Substernal goiter

KW - Thyroidectomy

UR - http://www.scopus.com/inward/record.url?scp=0028007494&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028007494&partnerID=8YFLogxK

U2 - 10.3109/14017439409100167

DO - 10.3109/14017439409100167

M3 - Article

VL - 28

SP - 79

EP - 83

JO - Scandinavian Cardiovascular Journal

JF - Scandinavian Cardiovascular Journal

SN - 1401-7431

IS - 2

ER -