Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma! | ||||
| Ain-Shams Journal of Anesthesiology | ||||
| Volume 12, Issue 1, January 2020 PDF (2.02 MB) | ||||
| DOI: 10.1186/s42077-020-00061-2 | ||||
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| Authors | ||||
Shagun B. Shah   ; A. Kulkarni
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| Abstract | ||||
| Adult tracheomalacia can be caused by long standing goitre or malignant infiltration and has a high morbidity. We anticipated possibility of postoperative tracheomalacia (based on preoperative dynamic cervical sonography and radiographic evidence), in both the cases presented here. A high index of suspicion helped in timely detection of this complication. An algorithm to decode tracheomalacia is constructed here. Elective endotracheal tube (ETT) retention postoperatively, followed by a planned, trial tracheal extubation with gradual ETT withdrawal under bronchoscopic guidance in the OT, several days post-surgery was employed. ETT re-insertion followed by an elective tracheostomy was performed on bronchoscopic confirmation of tracheomalacia. | ||||
| Keywords | ||||
| Bronchoscopy fiberoptic; Tracheostomy percutaneous; Thyroid Cancer; Tracheomalacia; Ultrasonography | ||||
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