STERNOTOMY REQUIREMENT IN RETROSTERNAL GOITER

Yıl 2019, Cilt: 33 Sayı: 3, 261 - 265, 06.02.2020

Taygun Gülşen Mustafa Demir Yavuz Kurt Ahmet Balta

https://doi.org/10.5505/deutfd.2019.43650

Öz

Retrosternal goiter is a condition caused by cervical thyroid tissue reaching out to mediastinum or isolated embryological thyroid tissue in mediastinum. It can cause various compression symptoms when it reaches large dimensions. Between 2005 and 2019, 267 patients underwent total thyroidectomy for multinodular goiter. Six of them had retrosternal goiter. Collar incision was sufficient in three of these 6 patients. In two of the other three patients, partial sternotomy was performed in addition to collar incision. In one patient, in addition to the collar incision, partial sternotomy, anterior thoracotomy, and “J” neck incision were performed. We aimed to present these three patients in our article.

Anahtar Kelimeler

retrosternal goiter, sternotomy, thyroidectomy

Retrosternal guatrda sternotomi ihtiyaci

Öz

Retrosternal guatr servikal tiroit dokusunun mediastene uzanmasından veya mediasten içinde izole embriyolojik tiroit dokusu bulunmasından kaynaklanan bir durumdur. Büyük boyutlara ulaştığında çeşitli bası semptomlarına yol açabilir. Kliniğimizde 2005 ve 2019 yılları arasında 267 hastaya multinoduler guatr nedeniyle total tiroidektomi yapılmış olup bunların 6 tanesinde retrosternal guatr mevcuttu. Bu 6 hastanın üçünde Collar insizyon yeterli oldu. Diğer üç hastanın ikisinde Collar insizyona ek olarak parsiyel sternotomi yapıldı. Bir hastada ise collar insizyona ek olarak parsiyel sternotomi, anterior torakotomi ve boyundan j kesi yapıldı. Bu üç hastayı yazımızda sunmayı amaçladık.

Anahtar Kelimeler

retrosternal guatr, sternotomi, tiroidektomi

Kaynakça

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