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Updated: Jun 29, 2025
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
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.
Abstract:
Thyroid storm is an acute life-threatening condition of hyperthyroidism that can present with cardiac failure, requiring extracorporeal membrane oxygenation (ECMO). We present the first case reported of total thyroidectomy successfully performed while on ECMO for thyroid storm in a 32-year-old male. This case highlights the challenges of managing refractory thyroid storm with multi-organ failure. We demonstrate that total thyroidectomy may still be safely performed while on ECMO for thyroid storm, if steps are taken to optimise the patient perioperatively, with careful surgical and anaesthesia planning.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12070-023-04430-9.
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