title: [Surgery of substernal thyroid goiter: 32 cases reported].
abstract: OBJECTIVE
  To probe into the surgical approaches and operative techniques for substernal thyroid goiter.
  
  
  METHODS
  In the way with operating on thyroid retrosternal thyroid tumour were removed via cervical collar incision and substernal thyroid cancer was partly removed via "perpendicular" shape cervical incision and tracheotomy.
  
  
  RESULTS
  The operations via cervical collar incision on 31 cases with substernal thyroid goiter have been carried out successfully. One thyroid cancer was partly moved via "perpendicular" shape cervical incision and tracheotomy, radiation therapy and isotope was adopted after operation, the patient survived above 5 years. Syndrome occurred in 9 cases (28.1%); recurrent laryngeal nerve were damaged in 5(15.6%), hemorrhage in 3(9.4%).
  
  
  CONCLUSIONS
  Resection via cervical collar incision for all retrosternal thyroid nodules was advised and surgery for malignancy needs to be investigated.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, Traditional Chinese Medical Hospital of Zhengzhou, Zhengzhou 450007.
authors.forename: Jiangang
authors.initials: J
authors.lastname: Lü
authors.forename: Zhigang
authors.initials: Z
authors.lastname: Li
authors.forename: Shuguan
authors.initials: S
authors.lastname: Yu
authors.forename: Qiaojin
authors.initials: Q
authors.lastname: Liang
mesh_terms: D000236:Adenoma / Q000601:surgery; D000328:Adult; D000368:Aged; D002291:Carcinoma, Papillary / Q000601:surgery; D005260:Female; D006045:Goiter, Substernal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery; D013964:Thyroid Neoplasms / Q000601:surgery*; D016606:Thyroid Nodule / Q000601:surgery