Bocio Cervicotorácico ？De qué depende el abordaje torácico?

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.