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.