ReviewEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2019
Surgical management of intrathoracic goitres.
Review in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Surgical approaches to the management of the intrathoracic goiter - A systematic review.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2025Pooled it
- Primary Intrathoracic Ectopic Thyroid Presenting With Superior Vena Cava Syndrome and Hoarseness: A Surgical Case Report.Clinical case reports · 2026Article
- Article
- Article
- Beyond the Neck: When Is Thoracic Operation Needed for Thyroidectomy?Journal of the American College of Surgeons · 2025Article
- Non-Surgical Approaches to the Management of the Intrathoracic Goiter-A Systematic Review.Journal of personalized medicine · 2024Review
- A case report of massive retrosternal goiter in a 54-year-old woman with symptoms of head and neck swelling and dyspnea.Clinical case reports · 2024Article
- Retrosternal Thyroid with Mediastinal Extension: Surgical Approach and Management.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023Article
- Retrosternal Goitre: Anatomical Aspects and Technical Notes.Medicina (Kaunas, Lithuania) · 2022Review
- Surgical Treatment of Substernal Goiter Part 1: Surgical Indications, Pre-Operative, and Peroperative Preparation.Sisli Etfal Hastanesi tip bulteni · 2022Review
- Clinicopathologic Characteristics and Outcomes of Massive Multinodular Goiter: A Retrospective Cohort Study.Frontiers in endocrinology · 2022Article
- Surgical Treatment of Substernal Goiter Part 2: Cervical and Extracervical Approaches, Complications.Sisli Etfal Hastanesi tip bulteni · 2022Review
- Hyperthyroidism secondary to a primary mediastinal goiter with normal functional cervical thyroid gland.Clinical case reports · 2021Article
- Combined cervicosternotomy and cervicotomy for true retrosternal goiters: a surgical cohort study.Updates in surgery · 2021Article
- An overview of retrosternal goiter.Journal of endocrinological investigation · 2021Review
- A rare case of ectopic retrosternal goiter.Clinical case reports · 2021Article
- Split Sternotomy in Retrosternal Thyroid and Mediastinal Parathyroid Pathologies.Sisli Etfal Hastanesi tip bulteni · 2021Article
- Surgery for retrosternal goiter: cervical approach.Gland surgery · 2020Article
- Surgical approach to the substernal goiter.Best practice & research. Clinical endocrinology & metabolism · 2019Review
- Thyroid and Pseudothyroid Dysfunction as a Cause That is Promoting the Relapse of Benign Focal Thyroid Pathology.Journal of medicine and lifeArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 9 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntrathoracic goitres (ITG) often present with compressive symptoms and require specialised care by experienced surgical teams. Most ITG can be accessed by a transcervical approach (TCA) and only between 1 and 15% will require an extracervical approach (ECA). Many controversies exist regarding the clinical presentation, evaluation, selection of cases for ECA, surgical technique and outcomes. This paper reviews the recent literature on the management, outcomes and evidence-based treatment strategies of ITG.
methodsWe conducted a review of the literature on the evaluation, management and outcomes of surgery for ITGs.
resultsThe incidence of cancer in the ITGs ranges between 4 and 20%. Multiplanar CT scanning offers the best preoperative evaluation and aids to determine the approach. Most ITG can be accessed by TCA and ECA are only needed in maximum 15% of cases. In experienced hands, the outcome of these surgeries is comparable to thyroid surgery for non-ITG.
conclusionsSurgery for ITG is challenging. The experienced surgeon however, with few exceptions can address ITG via TCA, with outcomes comparable to those of uncomplicated thyroid surgery.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.