[1]
Mountassir Moujahid, Departement of Surgery, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
[2]
Karim Nadour, Departement of ORL, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
[3]
Hicham Iraqui, Departement of Surgery, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
[4]
Mohamed Rhari, Departement of Radiology, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
[5]
Issam Serghini, Departement of Anesthesia Resuscitation, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
[6]
Khalid Chekoura, Departement of Anesthesia Resuscitation, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
[7]
Moulay Hassan Tahiri, Departement of Surgery, University of Medicine and Pharmacy of Rabat, 5th Military Hospital, Guelmim, Morocco.
Objective: The aim of this retrospective study was to study the epidemiological characteristic and diagnostic, and to report the results of the surgical treatment in a series of 120 patients operated on for substernal goiters. Patients and method: From 1995 to 2013, 120 patients with substernal goiters, including 85% of women, with an average age of 50. The clinical symptom was done of compressive sign (dyspnoea 50%of cases). The sign of dysthyroidism was finding in 25% of cases. The positive diagnosis bases on mediastinal compress and the existence of a palpable goiter in all our patients. The medical image has permitted the confirmation of the diagnosis. The treatment of these goiters was exclusively surgical. Results: The following were simples, outside of a recurrent paralysis in 4 cases and the hypo parathyroidism in seven patients. Conclusion: CT scan is the best explorations to evaluate intra thoracic extension of sub sternal goiters. Thyroidectomy was performed via a cervical incision in 113 patients and associated with a sternotomy in seven patients. Removal of the substernal portion was facilitated by the discovery of the recurrent nerve at its entering into the larynx and a downward dissection of the tracheal attachments of the lobe.
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