Background: Retrosternal goiter seems to be more considerable in extension sternotomy. Recommendation in retrosternal goiter which extend to, below the aortic arch and to the level of the pericardium are intrathoracic approach allow delivery of the intact gland. But practically, the cervical approach can be utilized in the majority of cases
Methods: retrospective study of patients with retrosternal goiters who underwent thyroidectomy
Conclusions: A prevalence of sternotomy in retrosternal goiter is x% [xx,xx]. Risk factors related are sex, age, size, pathological finding, radiologic extension, posterior mediastinum involvement, history of mediastinal goiters before surgery (goiter aged >160 months).