Surgical Management of Substernal Thyroid Goiters

Amanda J Bastien; Allen S Ho

doi:10.1016/j.otc.2023.07.008

Surgical Management of Substernal Thyroid Goiters

Otolaryngol Clin North Am. 2024 Feb;57(1):39-52. doi: 10.1016/j.otc.2023.07.008. Epub 2023 Aug 29.

Authors

Amanda J Bastien¹, Allen S Ho²

Affiliations

¹ Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
² Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA; Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA. Electronic address: Allen.Ho@cshs.org.

PMID: 37652811
DOI: 10.1016/j.otc.2023.07.008

Abstract

Substernal thyroid goiters can present with progressive symptoms involving compression of vital structures such as the esophagus, trachea, or large vessels. A multidisciplinary approach is critical when diagnosing and treating these patients. This article discusses patient presentation, workup, and management options for patients with substernal goiter as well as surgical pearls to minimize risk of complications.

Keywords: Multinodular thyroid goiter; Sternotomy; Substernal thyroid goiter; Thyroidectomy.

Publication types

Review

MeSH terms

Goiter, Substernal* / complications
Goiter, Substernal* / diagnosis
Goiter, Substernal* / surgery
Humans
Retrospective Studies
Thyroidectomy