title: [Surgery of substernal thyroid goiter].
abstract: A retrospective study on 87 substernal thyroid nodules operated between 1965 and 1994 was made. Among them 73.6% were goiters, 14.9% adenoma and 11.5% malignancy. Resection via cervical collar incision was performed in 70% of all cases, sternotomy in 16% and thoracotomy in 14%. A cervical collar incision was adequate in 91% of 43 cases after 1985, only one goiter was completed by sternotomy. Morbidity rate of complications was 41.4%, while the rate of recurrent laryngeal nerve paralysis was 20.7%. Surgery via cervical collar incision for all retrosternal thyroid nodules was advised and sternotomy or thoracotomy are suggested.
authors.affiliation: Cancer Hospital, Chinese Academy of Medical Sciences, Beijing Union Medical College.
authors.forename: B
authors.initials: B
authors.lastname: Zhang
authors.forename: G
authors.initials: G
authors.lastname: Tu
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000601:surgery; D000236:Adenoma / Q000601:surgery; D000328:Adult; D000368:Aged; D013507:Endocrine Surgical Procedures / Q000379:methods; D005260:Female; D006045:Goiter, Substernal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000601:surgery*; D016606:Thyroid Nodule / Q000601:surgery