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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 26 |
October - December 2010 |
Number 4 |
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An experience with Retrosternal Goiter:
Analysis of 89 casesIshtiaq Ahmed1, Umar Farooq2, Zia Ud Din Afridi3, Abida Maryum4
ABSTRACT
Objective: To determine the frequency of retrosternal goiter, clinical presentation and post operative complications among the patients presenting with goiter.
Methodology: It is a prospective, crossectional study conducted at Department of Surgery, Fauji Foundation Hospital, Rawalpindi from January 1997 to December 2008. All patients with goiter were evaluated for retrosternal extension of thyroid, clinical presentation, and post operative complications.
Results: Among 978 patients, 89 (9.10%) patients had retrosternal extension of thyroid. Majority of the patients were female (94.51%) and euthyroid (91.02%). Among all the patients, (39.33%) were in the 5th decade. Retrosternal extension of both lobes was found in 83.15% and one lobe in 16.15% patients. Dysponea was the commonest complaint by all patients, followed by headache (30.33%) and dysphagia (25.84%). Recurrent laryngeal nerve palsy was seen in 4.49% patients and 3.37% patients developed hypocalcaemia and wound infection after surgery.
Conclusion: Retrosternal extension of thyroid is not uncommon. Surgery can be easily done through cervical approach.
KEY WORDS:
Goiter, Retrosternal extension, Clinical presentation, Complications.Pak J Med Sci October - December 2010 Vol. 26 No. 4 897-900
How to cite this article:
Ahmed I, Farooq U, Afridi Z, Maryum A. An experience with Retrosternal Goiter: Analysis of 89 cases. Pak J Med Sci 2010;26(4):897-900
1. Dr. Ishtiaq Ahmed, FCPS,
2. Dr. Umar Farooq, FCPS,
3. Dr. Zia Ud Din Afridi, FCPS,
4. Dr. Abida Maryum, MBBS,
1-2: Department of Surgery, Islamabad Medical & Dental College
Punjab Employees Social Security Hospital, Islamabad.
3-4: Department of Surgery,
Foundation University Medical College, Rawalpindi.
Correspondence:
Dr. Umar Farooq,
Consultant Surgeon,
House No. 576 Street 40, Phase II,
Bahria Town, Rawalpindi - Pakistan.
E-mail: umaribd@yahoo.com
* Received for Publication: May 15, 2010
* Revision Received: July 8, 2010
* Second Revision Received: July 22, 2010
* Final Revision Accepted: July 23, 2010
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