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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

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Total Thyroidectomy while on Extracorporeal Membrane Oxygenation for Thyroid Storm.

Jia Jia Wee¹, Kai Jun Tay¹, Siti Radhziah Binte Sudirman¹

¹Department of Otorhinolaryngology and Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore, 169608 Singapore.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|April 3, 2024

Summary

This summary is machine-generated.

This study reports the first successful total thyroidectomy during extracorporeal membrane oxygenation (ECMO) for thyroid storm. Careful perioperative planning enables safe surgical management of refractory thyroid storm with multi-organ failure.

Keywords:

Cardiac failure Extracorporeal membrane oxygenation Hyperthyroidism Thyroid storm Total thyroidectomy

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Area of Science:

Endocrinology
Cardiology
Surgical Critical Care

Background:

Thyroid storm is a critical hyperthyroid state often leading to cardiac failure.
Extracorporeal membrane oxygenation (ECMO) may be required for life support in severe cases.
Managing these complex patients presents significant clinical challenges.

Purpose of the Study:

To report the first successful case of total thyroidectomy performed on a patient supported by ECMO for thyroid storm.
To highlight the feasibility and safety of surgical intervention in refractory thyroid storm with multi-organ failure.

Main Methods:

A case report of a 32-year-old male with refractory thyroid storm and cardiac failure requiring ECMO.
Detailed perioperative management including anesthesia and surgical planning for total thyroidectomy.
Emphasis on multidisciplinary collaboration for patient optimization.

Main Results:

Successful completion of total thyroidectomy while the patient was on ECMO.
Demonstration of safe surgical management in a critically ill patient.
No immediate perioperative complications related to the surgery or ECMO.

Conclusions:

Total thyroidectomy can be safely performed in patients with thyroid storm requiring ECMO.
Meticulous perioperative optimization and planning are crucial for successful surgical outcomes.
This approach offers a viable option for managing refractory thyroid storm with multi-organ failure.