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Combined Transcervical and Median Sternotomy Approach for a Massive Substernal Goiter

  • Alexander E. Graf,
  • Alexandrea J. Beemer,
  • Rahul D. Gulati,
  • Angelo T. Reyes,
  • Ofer Azoulay

摘要

Herein, we describe a combined transcervical and median sternotomy approach for a massive substernal goiter causing tracheal stenosis. A goiter of this size, specifically weighing 630 g, is rare. We advocate for a multidisciplinary approach for airway management and for consideration of awake fiberoptic intubation with tracheosomy avoidance for similar patients.