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Baylor University Medical Center Proceedings
The peer-reviewed journal of Baylor Scott & White Health
Volume 33, 2020 - Issue 3
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Case Studies

Substernal goiter excision in a Jehovah’s Witness

Omar KholakiDivision of Oral and Maxillofacial Surgery, Department of Surgery, Parkland/University of Texas Southwestern Medical Center, Dallas, Texas; Correspondence[email protected]
ORCID Iconhttp://orcid.org/0000-0001-9121-5055
, DDS, MDORCID Icon,
Todd R. WentlandDivision of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, TexasORCID Iconhttp://orcid.org/0000-0003-0423-048X
, DDS, MDORCID Icon &
Roderick Y. KimDivision of Maxillofacial Oncology and Reconstructive Surgery, Department of Oral and Maxillofacial Surgery, John Peter Smith Health Network, Fort Worth, TexasORCID Iconhttp://orcid.org/0000-0002-5287-8793
, DDS, MDORCID Icon
Pages 462-464 | Received 24 Dec 2019, Accepted 27 Feb 2020, Published online: 30 Mar 2020
 
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Abstract

Jehovah’s Witnesses present a unique challenge in oral and head and neck surgery. We report a case of a substernal goiter excised on a Jehovah’s Witness without the use of blood transfusion, in accordance with the patient’s beliefs. Additionally, we review the literature on the care of this patient population, focusing on preoperative optimization, perioperative management, and postoperative care.

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