Assessment and management of cervico-mediastinal goiter.
Fiche publication
Date publication
juin 2017
Journal
European annals of otorhinolaryngology, head and neck diseases
Auteurs
Membres identifiés du Cancéropôle Est :
Pr LABROUSSE Marc
Tous les auteurs :
Brenet E, Dubernard X, Mérol JC, Louges MA, Labrousse M, Makeieff M
Lien Pubmed
Résumé
Cervico-mediastinal goiter is a particular entity from the point of view of thyroid surgery. Its volume, hardness and intrathoracic extension require the surgeon to adapt technique and perform a painstaking preoperative work-up, so as to draw up fully-fledged plan. CT is now indispensable, to anticipate risks and determine whether sternotomy is needed. Surgery seems to induce more postoperative complications than in conventional surgery, although they can be reduced by retrograde dissection of the inferior laryngeal nerve and downward dissection of the posterior side of the lobe to optimize control of adjacent structures. This surgery requires optimal teamwork between all of the specialties involved in patient management: medical, radiological, anesthesiological and surgical.
Mots clés
Goiter, Retrograde dissection of the inferior laryngeal nerve, Sternotomy
Référence
Eur Ann Otorhinolaryngol Head Neck Dis. 2017 Jun;: