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- Title
Substernal guatrlarda cerrahi.
- Authors
Türüt, Hasan; Sırmalı, Mehmet; Fındık, Göktürk; Gezer, Suat; Öz, Gürhan; Aydoğdu, Koray; Taştepe, İrfan; Kaya, Sadi; Çetin, Güven
- Abstract
Objective: Our aim was to analyze the clinical and surgical aspects of the patients with substernal goiter. Materials and Methods: A total of 34 patients who underwent surgical treatment with the diagnosis of substernal goiter at Atatürk Chest Diseases and Chest Surgery Center between January 1996 and July 2005 were evaluated retrospectively. The patients were analyzed with respect to age, gender, presenting symptoms, findings, surgical procedures utilized, postoperative histopathology and follow-up. Results: Of the 34 patients, 19 were female and 15 were male with an age average of 57.5 years (range; 25-71). The most common symptom was related with respiratory system (dyspne and cough). A total of 28 patients (82.3%) were managed via standard "Collar" incision whereas the remain was required a total of 6 additional surgical procedures (partial/complete median sternotomy, thoracotomy). Of the 34 patients, 29 (85.2%) were diagnosed as diffuse/nodular colloidal goiter postoperatively; malignancy was detected in 2 (5.8%) of the patients. There was no operative mortality and our morbidity rate was 17.6% Conclusion: The management of choice in patients with substernal goiter is to be surgical. Although servical incision is adequate in most of the patients, abnormal thyroid tissue can be resected via additional partial or complete mediansternotomy when indicated in patients with intrathoracic localisation with low morbidity and mortality rates.
- Subjects
GOITER treatment; THYROID gland surgery; IODINE deficiency diseases; THYROID diseases; ENDEMIC goiter; SURGERY; GRAVES' disease; THERAPEUTICS
- Publication
Medical Journal of Suleyman Demirel University, 2009, Vol 16, Issue 1, p1
- ISSN
1300-7416
- Publication type
Article