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Assessment and management of cervico-mediastinal goiter

Abstract : 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.
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https://hal.univ-reims.fr/hal-02453754
Contributor : Valerian Dormoy Connect in order to contact the contributor
Submitted on : Friday, January 24, 2020 - 8:44:26 AM
Last modification on : Tuesday, March 15, 2022 - 9:39:00 AM

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E. Brenet, X. Dubernard, J.C. Mérol, M.A. Louges, M. Labrousse, et al.. Assessment and management of cervico-mediastinal goiter. European Annals of Otorhinolaryngology, Head and Neck Diseases, Elsevier Masson, 2017, 134 (6), pp.409-413. ⟨10.1016/j.anorl.2017.06.001⟩. ⟨hal-02453754⟩

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