RETROSTERNAL GOITER AND SURGICAL APPROACHES- PESHAWAR EXPERIENCE OF 144 CASES
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.
To observe the various clinical presentations of retrosternal goiter and evaluate their management and outcome.
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.
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.
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.