title: An extended toboggan technique for resection of substernal thyroid goiters.
abstract: We describe our technique for the safe resection of substernal thyroid goiters. Early mobilization of the thyroid gland from tracheal attachments anteriorly and laterally facilitates extraction of the goiter from the mediastinum. Retrograde dissection through the ligament of Berry on the ipsilateral side can also facilitate identification of the recurrent laryngeal nerve and delivery of the substernal portion of the gland. We describe 2 representative cases in which we successfully used this technique.
authors.affiliation: Department of Otolaryngology, Mount Sinai West Hospital, 425 W. 59th St., 10th Floor, New York, NY 10019, USA. casinclair@chpnet.org.
authors.forename: Catherine F
authors.initials: CF
authors.lastname: Sinclair
authors.forename: Glenn E
authors.initials: GE
authors.lastname: Peters
authors.forename: William R
authors.initials: WR
authors.lastname: Carroll
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000601:surgery*; D000368:Aged; D005260:Female; D006045:Goiter, Substernal / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008482:Mediastinum; D008875:Middle Aged; D061226:Recurrent Laryngeal Nerve Injuries / Q000517:prevention & control; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed