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Updated: Apr 20, 2026
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Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Published on: September 20, 2024
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Emergency thyroidectomy: Due to acute respiratory failure.
Zulfu Bayhan1, Sezgin Zeren1, Bercis Imge Ucar1
1Department of General Surgery, Faculty of Medicine, Dumlupinar University, 43020 Kutahya, Turkey.
International Journal of Surgery Case Reports
|December 2, 2014
Summary
Giant goiters can cause life-threatening airway obstruction. Emergency total thyroidectomy with awake intubation is a critical treatment for severe respiratory failure caused by these large thyroid masses.
Area of Science:
- Endocrinology
- Surgical Oncology
- Emergency Medicine
Background:
- Giant cervical and mediastinal goiters pose a risk of acute respiratory failure.
- Laryngotracheal compression and airway obstruction are primary complications.
Purpose of the Study:
- To present a case of a giant goiter causing severe respiratory failure.
- To highlight the urgent surgical management required for such cases.
Main Methods:
- A 71-year-old female presented with respiratory failure due to a giant nodular goiter.
- Diagnosis was confirmed via clinical examination and bedside ultrasound.
- Emergency total thyroidectomy was performed following fiberoptic-assisted awake nasal intubation.
Main Results:
- The patient experienced life-threatening respiratory failure from tracheal compression by the goiter.
- Postoperative recovery was uneventful, with discharge on day 7.
- Histopathology confirmed benign multinodular hyperplasia.
Conclusions:
- Giant goiters causing airway obstruction necessitate immediate surgical intervention.
- Awake intubation followed by emergency thyroidectomy is an effective treatment strategy.
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