Cervical Delivery of Retrosternal Goitre is Amenable, But When To Do Sternal Split?

Retrosternal Goitre (RSG) is incidentally diagnosed. The standard treatment is total thyroidectomy via a cervical access. Sternotomy split may be needed in selected cases [1]. Options of the operative techniques, practical surgical problems and preoperative findings indicating thoracic access are retrospectively analyzed reaching reasons for sternal splitting.