J Neuromonit Neurophysiol > Volume 3(1); 2023 > Article
Journal of Neuromonitoring & Neurophysiology 2023;3(1):45-49.
DOI: https://doi.org/10.54441/jnn.2023.3.1.45    Published online May 30, 2023.
기도폐쇄를 동반한 흉골하 갑상선종 1예
이하나, 정재영, 지용배
Retrosternal goiter presenting airway obstruction: A case report
Ha Na Lee, Jae Yeong Jeong, Yong Bae Ji
Abstract
Open surgical treatment is the traditional approach and management of retrosternal goiter presenting airway obstruction. Tracheal repair is primarily considered in cases of significant airway narrowing. An 88-year-old female presented with worsening dyspnea and was diagnosed with a huge retrosternal goiter. Preoperative imaging revealed airway compression, and thus a thyroidectomy with possible tracheal repair was planned. However, conventional electromyography tube cannot be used due to narrow airway. We performed intraoperative neural monitoring successfully with needle electrode. Tracheal repair was not necessary after removal of the goiter because tracheal wall recovered from compression by thyroid gland. Here we report this case with a review of literature.
Key Words: Retrosternal goiter, Airway obstruction, Trachea, Elasticity
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