Retrosternal thyroidectomy – a single surgeon's 15-year experience

Introduction: The definition of retrosternal goitre varies widely within the literature. Between 2-20% of goitres are classified as retrosternal. Where there are significant compressive symptoms, radiographic evidence of tracheal compression/deviation or progressive enlargement surgical removal is favoured. This is usually performed using a cervical approach. There is much debate regarding the indications for an extra-cervical approach. We present a retrospective review of a single surgeon's practice over a continuous 15-year period.

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