An intrathoracic goiter is an enlargement of the thyroid gland whose lower border is not palpable, with the particularity of extending beyond the upper aperture of the chest and descending into the thorax. In our case, the management consisted of total thyroidectomy via a cervical approach, associated with a sternotomy. This sternotomy technique was performed for the first time in our department. The postoperative course was uneventful.
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