title: Surgical approach and technique in retrosternal goiter: Case report and review of the literature.
abstract: BACKGROUND
  Retrosternal goiter is defined as a thyroid mass of which more than 50% is located below the thoracic inlet. The aim of this study is to assess the retrosternal goiter surgically approach through a neck incision and analyze the surgical technique.
  
  
  METHODS
  The case reported by us used a single neck collar-shaped incision for huge retrosternal goiter with good outcome. The patient was surgically treated through a neck incision without the need for sternotomy or lateral thoracotomy. We did not observe definitive lesions in the inferior laryngeal nerve or definitive hypoparathyroidism.
  
  
  CONCLUSIONS
  Patients with retrosternal goiter can be safely treated surgically through a single neck incision, which is less trauma and recovery quickly.
authors.affiliation: Department of General Surgery, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical University, Cangzhou 061000, China.
authors.forename: Yin
authors.initials: Y
authors.lastname: Rui Sheng
authors.affiliation: Department of General Surgery, Cangzhou Clinical College of Integrated Traditional Chinese and Western Medicine of Hebei Medical University, Cangzhou 061000, China.
authors.forename: Ren
authors.initials: R
authors.lastname: Chong Xi
keywords: Neck collar-shaped incision; Retrosternal goiter