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. 2024 Aug;76(4):3580-3582.
doi: 10.1007/s12070-024-04621-y. Epub 2024 Mar 30.

Combined Transcervical and Median Sternotomy Approach for a Massive Substernal Goiter

Alexander E Graf  1 , Alexandrea J Beemer  2 , Rahul D Gulati  1 , Angelo T Reyes  3 , Ofer Azoulay  1
Affiliations

Combined Transcervical and Median Sternotomy Approach for a Massive Substernal Goiter

Alexander E Graf et al. Indian J Otolaryngol Head Neck Surg. 2024 Aug.

Abstract

Herein, we describe a combined transcervical and median sternotomy approach for a massive substernal goiter causing tracheal stenosis. A goiter of this size, specifically weighing 630 g, is rare. We advocate for a multidisciplinary approach for airway management and for consideration of awake fiberoptic intubation with tracheosomy avoidance for similar patients.

Keywords: Fiberoptic intubation; Median sternotomy; Retrosternal goiter; Substernal goiter.

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Figures

Fig. 1
Fig. 1
Coronal CT image with mass measuring approximately 13.09 cm by 9.12 cm
Fig. 2
Fig. 2
Delivery of specimen after combined transcervical and median sternotomy appoach
See this image and copyright information in PMC

References

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