%0 Journal Article
%T Avalia£¿£¿o cr¨ªtica de 33 pacientes com b¨®cio mergulhante tratados cirurgicamente por cervicotomia
%A Neves
%A Murilo Catafesta Das
%A Rosano
%A Marcello
%A Hojaij
%A Fl¨¢vio Carneiro
%A Abrah£¿o
%A M¨¢rcio
%A Cervantes
%A Onivaldo
%A Andreoni
%A Danielle Macellaro
%J Revista Brasileira de Otorrinolaringologia
%D 2009
%I Scientific Electronic Library Online
%R 10.1590/S0034-72992009000200003
%X the possibility of needing a combined access, with neck and chest incisions makes the treatment of substernal goiter a challenge both in the pre-op and the intraoperative. we hereby, discuss a standardization of the surgical technique to minimize the need for a chest approach, making the substernal goiter a surgically treatable disease, through a single neck incision, and with low indices of complication. aim: to assess the substernal goiter surgically approach through a neck incision and to analyze the surgical complications. materials and methods: we carried out a historical cohort by retrospective analysis of the charts of patients submitted to thyroidectomy, and 33 of them (10.4%) had substernal goiter. results: all 33 patients were surgically treated through a neck incision without the need for sternotomy. we did not observe definitive lesions in the inferior laryngeal nerve or definitive hypoparathyroidism. only 2 patients had recurrent nerve paresis; and 2 patients were re-operated because of a neck hematoma. conclusion: patients with substernal goiter can be safely treated surgically through a single neck incision, bearing low complication rates.
%K substernal goiter
%K surgery
%K therapy.
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S0034-72992009000200003&lng=en&nrm=iso&tlng=en