Combined Transcervical and Median Sternotomy Approach for a Massive Substernal Goiter.
Alexander E GrafAlexandrea J BeemerRahul D GulatiAngelo T ReyesOfer AzoulayPublished in: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India (2024)
Herein, we describe a combined transcervical and median sternotomy approach for a massive substernal goiter causing tracheal stenosis. A goiter of this size, specifically weighing 630 g, is rare. We advocate for a multidisciplinary approach for airway management and for consideration of awake fiberoptic intubation with tracheosomy avoidance for similar patients.
Keyphrases
- end stage renal disease
- ejection fraction
- newly diagnosed
- aortic valve replacement
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- heart failure
- quality improvement
- deep brain stimulation
- left ventricular
- aortic stenosis
- transcatheter aortic valve replacement
- patient reported
- transcatheter aortic valve implantation