Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter
Introduction: Intra-thoracic goiter refers to the extension of enlarged thyroid tissue into the thoracic inlet. This condition can produce symptoms of compression on adjacent organs and can sometimes be accompanied by malignant transformation. Therefore surgical treatment is almost always necessary....
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2015-11-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://ijorl.mums.ac.ir/article_5401_57512b0fd22eb1a6be13e9afcb0ab731.pdf |
| _version_ | 1811340212839645184 |
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| author | Ali Sadrizadeh Sadeq Ghafarian Seyed Ziaollah Hghi Maryam Salehi |
| author_facet | Ali Sadrizadeh Sadeq Ghafarian Seyed Ziaollah Hghi Maryam Salehi |
| author_sort | Ali Sadrizadeh |
| collection | DOAJ |
| description | Introduction: Intra-thoracic goiter refers to the extension of enlarged thyroid tissue into the thoracic inlet. This condition can produce symptoms of compression on adjacent organs and can sometimes be accompanied by malignant transformation. Therefore surgical treatment is almost always necessary. In order to remove the pathology with the fewest post-operative complications, selection of the appropriate surgical approach is essential. In this study we aimed to detect the criteria which help us select the best therapeutic approach. Materials and Methods: In this retrospective study, 82 patients with intra-thoracic goiter were investigated. Their data were extracted from medical records and analyzed using SPSS software. Results: Overall 82 patients, 18 (21%) males and 64 (78%) females with mean age of 56.38 years were studied. The most common clinical symptoms were mass (95%) and dyspnea (73%). In most patients, the surgical approach was cervical (90.2%), while 9.8% of patients required an extra-cervical approach. Post-operation complications were observed in 17.1% of patients; the most common being transient recurrent laryngeal nerve paralysis (4.9%). Malignancy was reported in the histopathology of seven patients (8.5%). The most common malignant histopathology was papillary thyroid carcinoma (7.3%). Extension of the thyroid tissue below the uppermost level of the aortic arch was significantly correlated with the need for an extra-cervical approach to surgery (P |
| first_indexed | 2024-04-13T18:38:40Z |
| format | Article |
| id | doaj.art-1934eef72e2d4673a114bcb0c17d5d6f |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-04-13T18:38:40Z |
| publishDate | 2015-11-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-1934eef72e2d4673a114bcb0c17d5d6f2022-12-22T02:34:47ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2015-11-012764354515401Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic GoiterAli Sadrizadeh0Sadeq Ghafarian1Seyed Ziaollah Hghi2Maryam Salehi3Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Cardiothoracic Surgery & Transplant Research Center, Emam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.Introduction: Intra-thoracic goiter refers to the extension of enlarged thyroid tissue into the thoracic inlet. This condition can produce symptoms of compression on adjacent organs and can sometimes be accompanied by malignant transformation. Therefore surgical treatment is almost always necessary. In order to remove the pathology with the fewest post-operative complications, selection of the appropriate surgical approach is essential. In this study we aimed to detect the criteria which help us select the best therapeutic approach. Materials and Methods: In this retrospective study, 82 patients with intra-thoracic goiter were investigated. Their data were extracted from medical records and analyzed using SPSS software. Results: Overall 82 patients, 18 (21%) males and 64 (78%) females with mean age of 56.38 years were studied. The most common clinical symptoms were mass (95%) and dyspnea (73%). In most patients, the surgical approach was cervical (90.2%), while 9.8% of patients required an extra-cervical approach. Post-operation complications were observed in 17.1% of patients; the most common being transient recurrent laryngeal nerve paralysis (4.9%). Malignancy was reported in the histopathology of seven patients (8.5%). The most common malignant histopathology was papillary thyroid carcinoma (7.3%). Extension of the thyroid tissue below the uppermost level of the aortic arch was significantly correlated with the need for an extra-cervical approach to surgery (Phttp://ijorl.mums.ac.ir/article_5401_57512b0fd22eb1a6be13e9afcb0ab731.pdfCervical incisionIntra-thoracic goiterMediastinal goiterSub-sternal goiterSternotomyThyroidThyroidectomy |
| spellingShingle | Ali Sadrizadeh Sadeq Ghafarian Seyed Ziaollah Hghi Maryam Salehi Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter Iranian Journal of Otorhinolaryngology Cervical incision Intra-thoracic goiter Mediastinal goiter Sub-sternal goiter Sternotomy Thyroid Thyroidectomy |
| title | Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter |
| title_full | Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter |
| title_fullStr | Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter |
| title_full_unstemmed | Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter |
| title_short | Evaluations of Factors Predicting the Need for an Extra-Cervical Approach for Intra-Thoracic Goiter |
| title_sort | evaluations of factors predicting the need for an extra cervical approach for intra thoracic goiter |
| topic | Cervical incision Intra-thoracic goiter Mediastinal goiter Sub-sternal goiter Sternotomy Thyroid Thyroidectomy |
| url | http://ijorl.mums.ac.ir/article_5401_57512b0fd22eb1a6be13e9afcb0ab731.pdf |
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