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A STUDY ON THE ANALYSIS OF RETROSTERNAL GOITER

Dr Zirwa Younas, Dr Aqsa Hameed, Dr Munibah Nisar

Objective: The purpose of this research work is to find out the rate and occurrence of RG (Retrosternal Goiter), its medical symptoms and complications after surgery in the patient of this disease. Methodology: It is a transverse research work conducted in the surgical department of Allied Hospital Faisalabad This research work started in January 2007 to December 2018. All the patients of goiter assessed for expansion of thyroid, medical symptoms and complications after the surgery. Results: Among nine hundred and seventy-eight patients, eighty patients found with the retrosternal expansion of thyroid. Female patients were greater in quantity & most of the patients were euthyroid (91.02%). All the patients were in their fifth decade of life. Retrosternal enlargement of two lobes was available in more than eighty-three percent patients & one lobe in 1more than sixteen percent patients. Dyspnea was the most common problem as complaint by the patients. The second most common problem was headache (30.33%) & dysphagia (25.84%) came in the least than the previous ones. Recurring LNP (laryngeal nerve palsy) was available in 4.49% patients & 3.37% patients suffered hypocalcaemia & infection of wound after operation. Conclusion: Retrosternal expansion of thyroid is very common. Cervical approach is in use for the conduction of the surgery. Key Words: Dyspnea, Lobes, thyroid, Thoracic Vertebra, Hypocalcaemia, Goiter.

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