Inverted "T" sternotomy for compressive intrathoracic goiters. Indication and technical description based on a representative case
DOI:
https://doi.org/10.31837/cir.urug/10.1.7Keywords:
intrathoracic goiter, sternotomy, surgical approach, thyroidectomyAbstract
Intrathoracic goiter (ITG) is defined as a growth of the thyroid gland that extends into the thorax and can be located completely or partially in the mediastinum. Approximately 6 to 10% of ITGs with an intrathoracic component, according to some series, require a transthoracic approach to ensure complete and safe resection.
Materials and methods: A descriptive study was conducted that included a patient diagnosed with compressive intrathoracic goiter who underwent surgery using an inverted "T" cervicotomy approach. It was complemented by a narrative review of the available scientific literature on indications and surgical technique for the treatment of large-volume goiters.
Results: A 57-year-old male patient presented with dyspnea, laryngeal stridor, and dysphagia for solids. A goiter with a large intrathoracic mass was diagnosed. The procedure was approached via a neck incision and a "T" sternotomy, without complications. Objective: To describe the predictors of transthoracic access and the technical details of the sternotomy approach to intrathoracic goiter.
Computed tomography is the gold standard for determining the need for an accessory approach to cervicotomy. The inverted T sternotomy allows for wide exposure of the mediastinum and safe dissection of adjacent structures.
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