%0 Journal Article
%T Bocio Cervicotor¨¢cico £¿De qu¨¦ depende el abordaje tor¨¢cico?
%A Gonz¨¢lez Aguilar
%A Osvaldo
%A Simkin
%A David O
%A Pardo
%A Hugo A
%A Seva
%A Rom¨¢n
%A Delgado Mar¨ªn
%A Daniel
%A D¨¢vila Quijano
%A Sergio
%J Revista argentina de cirug£¿-a
%D 2011
%I Scientific Electronic Library Online
%X background: only 2% of cervicothoracic goiters are resected through a thoracic approach. there are no strict guidelines that dictate the need for this surgical approach. objective: investigate clinical, radiographic factors associated with the need for a thoracic approach in cervicothoracic goiters. design: retrospective - observational. setting: public tertiary care head and neck referral center. population: 54 patients, 51.8 male with a rate 1/1. mean age was 57.8 years, 29.6% recurred goiters, 81.5% was benign and hte rest malign tumours. methods: in 29.6% a thoracic approach was needed: sternotomy in 10, manubriotomy in 4 and lateral thoracotomy in 2. total thyroidectomy was used i n72.2%. results: there were complications in 10 and sequelas in 8. 5 years overall survival in malignant tumors was 25%. conclusions: cervicothoracic seems to be most appropriate term. patients who needed thoracic approach were adult of both genders. cervical approach solve most of cases. but 90% of malignant tumours needed any type of thoracic approach statiscally significant expressed. carinal extension, aberrant or posterior goiters, always needed a thoracic approach. lateral thoracotomy was reserved only for the last two types of goiters.
%K cervicothoracic goiter
%K approach ways for goiter.
%U http://www.scielo.org.ar/scielo.php?script=sci_abstract&pid=S2250-639X2011000100004&lng=en&nrm=iso&tlng=en