<prompt> Retrosternal Goitre Approach isTranscervical approachTransthoracic 2nd ICSTransthoracic 4th ICSTranssternal Anterior mediastinum  <response>: Retrosternal goitre is 99 extension from Goitre in neck due to enlargement. And such extended retrosternal goitres are mostly removed by neck incision itself by putting the fingers and hooking out the gland. Such manoeuvre of removal neck incision is known as Toboggan Technique. Very rarely Sternotomy is done if the goitre is primary mediastinal goitre. Ref:- Surgery Sixer 3rd Edition; Pg num:- 227 