Abstract:
:Tracheomalacia after thyroidectomy is a life-threatening situation. However, it is difficult to predict postoperative tracheal obstruction with certainty. A case of a 74-year-old woman with a long-standing adenomatous goiter (98 g) is reported. She had undergone partial right lobe thyroidectomy 54 years earlier. After total thyroidectomy, she was reintubated and required a tracheostomy because of tracheomalacia. The right residual thyroid tumor weighed only 5 g, but it extended to the retrotracheal space. Because the right lobe had stretched the membranous wall of the trachea over a long period of time, the tracheal lumen was thought to have collapsed because of loss of the foundation of the tracheal cartilage (the residual right lobe) along with the supportive surrounding tissue (the left lobe) after surgery. The present case suggests that the occurrence of tracheomalacia could be attributed to reoperation and retrotracheal extension. Thus far, six preoperative predictive factors for the development of severe postoperative respiratory obstruction have been reported: goiter for more than 5 years, preoperative recurrent laryngeal nerve palsy, significant tracheal narrowing and/or deviation, retrosternal extension, difficult endotracheal intubation, and thyroid cancer. Two more factors, reoperation and retrotracheal extension of tumor, may also be risks for airway obstruction after thyroidectomy.
journal_name
J Anesthjournal_title
Journal of anesthesiaauthors
Nakadate Y,Fukuda T,Hara H,Tanaka Mdoi
10.1007/s00540-011-1181-9subject
Has Abstractpub_date
2011-10-01 00:00:00pages
745-8issue
5eissn
0913-8668issn
1438-8359journal_volume
25pub_type
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journal_title:Journal of anesthesia
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更新日期:1996-03-01 00:00:00
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journal_title:Journal of anesthesia
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journal_title:Journal of anesthesia
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更新日期:2015-06-01 00:00:00
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doi:10.1007/s00540-004-0292-y
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journal_title:Journal of anesthesia
pub_type: 杂志文章
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更新日期:1995-03-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-10-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
doi:10.1007/s00540-013-1708-3
更新日期:2014-04-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s0054020060028
更新日期:1992-01-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-06-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of anesthesia
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更新日期:2014-12-01 00:00:00
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更新日期:2011-08-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
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更新日期:1994-03-01 00:00:00
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更新日期:2007-01-01 00:00:00
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更新日期:2017-02-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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journal_title:Journal of anesthesia
pub_type: 杂志文章
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更新日期:1989-09-01 00:00:00
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journal_title:Journal of anesthesia
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更新日期:2017-06-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-01-01 00:00:00