Best surgical approach in accessing retrosternal goiter is:
Ans. (a) CervicalRef: Bailey and Love 27th Edition, Page 811Mediastinal goiter can be divided into* Primary - Only <1% of mediastinal goiters, arising from ectopic thyroid tissue in mediastinum with blood supply from mediastinal vessels.* Secondary - Majority of mediastinal goiters due to extension of thyroid from neck with blood supply from thyroid arteries.Treatment:* Mediastinal goiter can be removed by Neck incision most of the times except in few cases like suspected thyroid cancers, Primary mediastinal goiters and previous neck surgeries.
Cervical
Sternal
Intercostal
VATS
Thyroid Gland