RETROSTERNAL GOITER AND SURGICAL APPROACHES- PESHAWAR EXPERIENCE OF 144 CASES

Abstract

Background:

 A typical reason for the compression of nearby structures, retrosternal goitre may also include malignancy. Compression of nearby structures, avoiding future consequences, and getting a diagnosis is only a few of the precise reasons why resection is necessary.

 Objective:

 To observe the various clinical presentations of retrosternal goiter and evaluate their management and outcome.

 Methodology:

 Retrospective analysis was done on the clinical records of 144 patients with retrosternal goitre who had surgical treatment during a 12-year period (2002-2014). To analyse the clinical presentation, surgical procedures, histology of specimens, and surgical result, records were thoroughly examined.

 Results:

 Dyspnea was the most frequent presenting symptom (39.6%), and complete thyroidectomy was the surgical method of choice. In 90.97% of the instances, the RSGs were only removed via a collar incision. 26.38% of the thyroid specimens had malignancy identified by histology. Ten individuals had difficulties, and there were two fatalities.

 Conclusion:

Retrosternal goiters can be delivered through the cervical approach, but where delivery is difficult it can be aided by a mediastinotomy thereby avoiding splitting the sternum.