Substernal or intrathoracic thyroidectomy is indicated for goiters that are encroaching into the substernal or intrathoracic regions,causing tracheal or esophageal obstruction.Access to the substernal compartment is typically facilitated by:
A) splitting the sternum.
B) using a right mini-thoracotomy approach.
C) using long instruments through a regular thyroid incision.
D) using a mediastinoscopy approach.

Question

Quizplus · Accepted Answer

Extensions of goiters enlarging into the substernal and intrathoracic regions may occur.If they cause tracheal and esophageal obstruction,they are usually excised surgically.Longer instruments are sometimes required.Splitting the sternum is rarely necessary,because access to the substernal part of the gland is usually satisfactory through the standard thyroid incision.

Substernal or Intrathoracic Thyroidectomy Is Indicated for Goiters That Are