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Endocrine and Neuroendocrine Surgery pp 111–122Cite as

Substernal Goiter

Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

Substernal or mediastinal goiters develop from the thyroid gland and progressively migrate into the thoracic cavity because of their weight, negative thoracic pressure, respiratory movements, and the shortness of the patient’s neck. They derive their blood supply from the superior and inferior thyroid arteries, which are surgically accessible through the neck. Substernal goiters should be distinguished from ectopic goiters arising from aberrant thyroid tissue; the blood supply for ectopic intrathoracic goiters does not depend only on cervical vessels. Therefore, the surgical management of purely intrathoracic goiters differs from that of substernal goiters [1].

Keywords

  • Goiter surgery
  • Substernal goiter
  • Partial sternotomy
  • Anterolateral thoracotomy
  • Surgical complications

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Authors and Affiliations

  1. Department of Surgery, University Hospital, Basel, Switzerland

    Daniel Oertli

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  1. Daniel Oertli
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Correspondence to Daniel Oertli .

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Editors and Affiliations

  1. Division of Surgical Oncology and Endocrine Surgery, University of Iowa Carver, College of Medicine, Iowa City, Iowa, USA

    James R. Howe

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Oertli, D. (2017). Substernal Goiter. In: Howe, J. (eds) Endocrine and Neuroendocrine Surgery. Springer Surgery Atlas Series. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54067-1_8

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  • DOI: https://doi.org/10.1007/978-3-662-54067-1_8

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