Results of 91 patient with neck-retrosternal goiter localization operative treatment were analysed. The first degree of thyroid retrosternal part distribution by I. Cohen, H. Cho classification (1994) was observed in 41 patient, the second degree--in 28, the third degree i - n 17 and the fourth degree--in 5 patients. In most cases of neck--retrosternal goiter localization, operation can be performed from neck access, removel of the submerged part of thyroid gland needs to be begun with mobilization of neck part of lobe, the observance of the offered actions algorithm allows to prevent the origin of complications and get good postoperative results.

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