Top 20 Doctor insights on: Surgical removal of a substernal goiter

Share
1

1
I was diagnosed with a substernal goiter, supposed to have surgery. How do they do it?

I was diagnosed with a substernal goiter, supposed to have surgery. How do they do it?

Neck incision: Usually it can be done thou a standard lower neck incision but sometimes the sternum bone has to be cut to get access to the upper part of the chest. ...Read more

See 1 more doctor answer
Dr. Steve Martinez
313 Doctors shared insights

Thyroid Enlargement (Definition)

Thyroid enlargement refers to a thyroid gland that is larger than normal. The thyroid gland is located in the front of the neck, below the Adam's apple, and may become enlarged due to hyper or hypo-thyroidism. An enlarged thyroid is also ...Read more


2

2
What can cause a substernal goiter?

What can cause a substernal goiter?

Not known: Decades ago iodine deficiency was a common cause. These days the cause of benign enlargement of the thyroid (goiter) is not known. A substernal goiter is an enlarged thyroid that extends from the neck into the chest.

Anyone with an enlarged thyroid should have an ultrasound and most likely a needle biopsy of the gland. ...Read more

3

3
What is retrosternal goiter?

What is retrosternal goiter?

Thyroid in chest: A goiter is enlarged thyroid. The thyroid is in the neck but it can enlarge enough to drop into the chest. Here it sits behind the sternum hence it is now a retrosternal goiter. ...Read more

5

5
Alternatives to surgery for multinodular goiters?

Wait and watch: If there are no symptoms and no suspicious nodule, I would suggest the question should be the other way around. Are there any good alternatives to watching and waiting? No. ...Read more

6

6
Is surgery the only way to remove multinodular goiters in hashimotoes thyroidis?

Yes: A multinodular goiter secondary to hashimoto's thyroiditis will likely decrease or stop functioning over time, but the bulkiness of the goiter does not usually become smaller. If the goiter is compressive and causes difficulty with swallowing or breathing, it should be surgically removed. Medical therapy is available to suppress the goiter and also to treat the hashimoto's. ...Read more

7

7
What kind of treatment can I get for a goiter when I am allergic to iodine and do not want surgery?

What kind of treatment can I get for a goiter when I am allergic to iodine and do not want surgery?

Goiter: Work with your team, your doc. If you have graves disease and radioactive iodine was recommended, there are several additional medications with benefit. Initial therapy and subsequent result is important for you and your doc to determine subsequent treatments. Don't avoid all care over your iodine and surgery limits. ...Read more

8

8
Can goiter come bak after surgery?

Can goiter come bak after surgery?

Recurrent goiter: Hello, if you have a partial thyroidectomy, then a goiter could occur in the remaining portion of your thyroid. ...Read more

9

9
When will goiter surgery be necessary?

When will goiter surgery be necessary?

Size: If the thyroid enlarges enough that it starts to cause swallowing difficulties, speaking difficulties, or breathing difficulties. Usually do not want to wait until the symptoms listed above are severe, or if it is so large that the surgery becomes more difficult. ...Read more

10

10
Do I need surgery for colloid goiter?

Depends: Surgical indication for thyroid is based on size of the goiter, symptoms of obstruction, and the fna diagnosis. There are times when surgery is a benefit, best to take family/friend with you to surgery consult. In many cases medical therapy and observation is all that is needed. ...Read more

11

11
What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

What are the risks associated with a 2nd surgery for a moderate multinodular goiter?

Risk of redo surgery: Second surgery or redo surgery carries increased risk because your surgeon is going through scarred tissue instead of normal anatomy. Typically the surgeon goes slower and small structures like nerves and parathyroid glands are a bit more difficult to identify. Risk depends on the first surgery. If you had one side/lobe removed and now need the other side removed, redo risk does not apply. ...Read more

See 2 more doctor answers
12

12
Dear doc. I have coloid goiter disease, then I want my disease surgery, but doubt. What percentage to sucess if my disease is in surgery? Thanks

No surgery.: To have success in surgery you have to have an objective. You don't get surgery just because you have disease. For goiter, surgery is usually indicated if there is a suspicion of cancer or the goiter has gotten so large that your airway is at risk for compression. Always ask your doctor why your having surgery and "because I said so" is not a good answer. ...Read more

14

14
Can a goiter shrink without surgery?

Can a goiter shrink without surgery?

Goiter: Yes -- it can and often does. Goiter is usually an inflammatory reaction caused by an autoimmune disorder. This can wax and wane as antibody levels do. Sometimes thyroid hormone replacement can shrink it to a degree but not always. ...Read more

See 1 more doctor answer
15

15
How to recover fast after goiter surgery?

How to recover fast after goiter surgery?

Depends: First - do you need the surgery?
Second - is the surgeon trained to do a minimally invasive approach? Recovery from that is usually just a few hours vs overnight in the hospital for more conventional procedures.
Make sure this is an experienced thyroid surgeon who knows his/her way around the neck. ...Read more

16

16
How to shrink multinodular goiter without surgery?

How to shrink multinodular goiter without surgery?

Goiter/FNA: The cause of your goiter determines the possible therapies and yes it can be treated medically. Overall size, compression, response to medical therapy, fna biopsy, cancer are important so work with your team of docs. A surgery consult can give you lots of information about the risk/benefit of therapy with surgery. You have choices, good luck. ...Read more

17

17
Can a goiter go away on its own? I just had gastric sleeve wondering if I will require another surgery for this goiter or will it regulate?

Can a goiter go away on its own? I just had gastric sleeve wondering if I will require another surgery for this goiter or will it regulate?

Unlikely: If it is truly a goiter and not just the appearance of a goiter, then gastric sleeve will not get it to go away. A goiter does not need surgical removal unless it has large growths in it or if it is causing compressive symptoms. ...Read more

18

18
I had my goiter surgery 12 years ago and left a scar on my neck. I want to make it lighter or thinner, my scar is darker than my complexion. Please help me. Tnx?

I had my goiter surgery 12 years ago and left a scar on my neck. I want to make it lighter or thinner, my scar is darker than my complexion. Please help me. Tnx?

Scars & VitaminE: Life holds no guarantees as we know, but vitamin e oil placed directly on the scar regularly can help to fade or remove the scar. You can get a bottle of it in the drug store. It's inexpensive and worth a try; just be patient. ...Read more

19

19
Why are my doctors so hesitant to give me a 2nd goiter surgery?

May need chest open: Also, if the thyroid now extends downward into the chest, there is a higher likelihood with a second procedure, that the surgeons would need to cut through the collarbone, breastbone, and/or upper ribs to remove all of the thyroid compared to a first procedure. ...Read more

See 1 more doctor answer
20

20
I can't sleep for 2 months after goiter surgery. What should I do to have normal sleep?

I can't sleep for 2 months after goiter surgery. What should I do to have normal sleep?

Check out your level: Please be sure to have your thyroid hormone levels checked again. Maybe they are off and affecting your sleep. Otherwise, I can't explain any other reason for the surgery to affect your sleep this far out afterwards.

Even when your levels are "normal", if you continue to not feel right, find an endocrinologist who will work with you until you feel right. Sometimes a medication switch is needed. ...Read more

See 1 more doctor answer