World Journal of Endocrine Surgery

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VOLUME 2 , ISSUE 1 ( January-April, 2010 ) > List of Articles

REVIEW ARTICLE

Goiter and Airway Control

Mukesh Tripathi

Citation Information : Tripathi M. Goiter and Airway Control. World J Endoc Surg 2010; 2 (1):9-16.

DOI: 10.5005/jp-journals-10002-1014

Published Online: 01-04-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Goiter or thyroid swelling in neck has been known to be a risk factor for difficulty in airway management during anesthesia and surgery. The factors associated with difficult direct laryngoscopy and intubations in any patient are also the factors to predict difficult intubation in goiter patients. The huge goiter and long standing goiter especially with intrathoracic extension predispose for tracheomalacia. The tracheomalacia can be diagnosed during surgery but the airway obstruction usually develops after the extubation. Tracheostomy may be required in the event of loss of airway. A better understanding by surgeons and the anesthesiologists about the airway problems in goiter shall improve the outcome


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