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Video-assisted thoracoscopic thyroidectomy for obstructive sleep apnoea.

Obstructive sleep apnoea (OSA) is caused by upper airway collapse during sleep. In few case reports, a goitre has been found to be a contributing factor for sleep apnoea (1).Thyroidectomy improved symptoms in thesepatients. However, in these cases the goitre was mainly localised in the neck requiring a standard cervical collar incision for the operation. We describe a patient who had a goitre localised in the posterior mediastinum, which was subsequently resected using video-assisted thoracoscopic surgery (VATS).Partial thyroidectomy resulted in complete resolution of his symptoms.