STRUMA MULTI NODOSA NON TOKSIKA INTRATHORAKAL Apa pilihan approach operasinya? Haruskah dilakukan Median Sternotomy?

Authors

  • Mochamad Aleq Sander
  • Fina CS

DOI:

https://doi.org/10.22219/far.v1i2.1513

Keywords:

intrathoracal struma

Abstract

Mochamad Aleq Sander, dr., M.Kes., SpB., FinaCS
Fakultas Kedokteran Universitas Muhammadiyah Malang
Jl. Bendungan Sutami 188A Malang 65145
e-mail: aleq.sander@yahoo.com
blog: bedahunmuh.wordpress.com

Abstract

Intrathoracal non toxic multi nodular struma is lumpy enlargement of thyroid gland
without hypothyroidism that extend from cervical thyroid gland into thoracal cavity. According
to anatomy location of thyroid, their name were substernal, retrosternal, mediastinal,
intrathoracal, plunging, anterior and posterior mediastinal, and aberrant mediastinal. The
origin of blood supply of mediastinal struma was inferior thyroidea artery, especially cases
from aorta, subclavia artery, internal mammary artery, or ima thyroidea artery. According to
Study got that seven patients with mediastinal struma had intrathoracal blood supply directly.
Surgery could cervical approach and/or thoracotomy according to anatomic location and
type of intrathoracal struma.

Keywords: intrathoracal struma

Abstrak

Struma multi nodosa non toksika intratorakal adalah pembesaran kelenjar tiroid yang tampak
berbenjol-benjol tanpa disertai tanda-tanda hipertiroidisme yang mengalami ekstensi kearah
inferior dari kelenjar tiroid servikal hingga masuk ke dalam rongga thoraks. Jaringan tiroid
yang berada di rongga toraks diberi nama sesuai tempat anatominya yaitu substernal, retrosternal,
mediastinal, intrathorakal, plunging, anterior dan posterior mediastinum, serta mediastinum
aberrant. Suplai darah untuk struma mediastinum biasanya dari arteri tiroidea inferior, pada
kasus tertentu suplai darah dapat berasal dari aorta, arteri subklavia, arteri mamaria interna,
atau dari arteri tiroidea ima. Hasil penelitian didapatkan bahwa dari tujuh orang yang mengalami
struma mediastinum ternyata memiliki sumber perdarahan langsung dari intrathorakal. Tindakan
operasinya bisa melalui cervical approach dan/atau thoracotomy, hal ini tergantung dari lokasi
anatomis dan tipe struma intratorakal yang diderita oleh pasien.

Kata kunci: struma intratorakal

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How to Cite

Sander, M. A., & CS, F. (2012). STRUMA MULTI NODOSA NON TOKSIKA INTRATHORAKAL Apa pilihan approach operasinya? Haruskah dilakukan Median Sternotomy?. Farmasains : Jurnal Farmasi Dan Ilmu Kesehatan, 1(2). https://doi.org/10.22219/far.v1i2.1513

Issue

Vol. 1 No. 2 (2011): Oktober 2010 - Maret 2011

Section

Back Matters

License

Copyright (c) 1970 Mochamad Aleq Sander, Fina CS

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