Skip to main content

Upper airway obstruction from a benign goiter

Abstract

Acute upper tracheal obstruction from a huge benign goiter developed in an 80-year-old woman. Computed tomography showed severe stenosis of the cervical trachea by extrinsic compression. A left hemithyroidectomy was performed and the tracheal lumen returned to normal size. However, the tracheal wall was malacic due to the prolonged compression by the goiter and a silastic T-tube insertion was necessary for a two month period. This type of tracheal obstruction is rare.

The importance of evaluating the upper trachea in patients with prolonged benign goiter is stressed and the diagnosis as well as the management of this type of complication are discussed.

This is a preview of subscription content, access via your institution.

References

  1. Olurin ED (1971) Surgical Techniques in Giant Goitres. Brit J Surg 58:739–746

    Google Scholar 

  2. Shaha A, Alfonso A, Jaffe BM (1987) Acute airway distress due to thyroid pathology. Surgery 102:1068–1074

    Google Scholar 

  3. Lawson L, Som ML, Biller HF (1977) Papillary adenocarcinoma of the thyroid invading the upper air passages. Ann Otol Rhinol Larlyngol 86:751–755

    Google Scholar 

  4. Jauregui R, Lilker ES, Bayley A (1977) Upper Airway Obstruction in Euthyroid Goiter. JAMA 238:2163–2166

    Google Scholar 

  5. Okuma K, Ohyama M, Suenaga T (1972) Case report of a huge cystic goiter. (in Japanese) Rinshogeka (J Clin Surg) 27:407–410

    Google Scholar 

  6. Hata H, Nishi T, Wanibuchi Y, Ohtani G, Ohara T, Hirose T, Takahashi R (1983) Case report -Tracheal obstruction due to adenomatous goiter. (in Japanese) Horumon to Rinsho (Clinical endocrinology) 31:90–92

    Google Scholar 

  7. Alfonso A, Christoudias G, Amarudden Q, Herbsman H, Gardner B (1981) Tracheal or esophageal compression due to benign thyroid disease. Am J Surg 142:350–354

    Google Scholar 

  8. Hassared AD, Holland JG (1982) Benign thyroid disease and upper airway obstruction. Case presentations, pathophysiology and management. J Otolaryngol 11:77–82

    Google Scholar 

  9. Torres A, Arroyo J, Kastanos N, Estopa R, Rabaseda I, Aqusti-Vadal A (1983) Acute respiratory failure and tracheal obstruction in patients with intrathoracic goiter. Crit Care Med 11:265–266

    Google Scholar 

  10. Canham EM, Sahn SA (1982) Recurrent “suppressed” goiter causing upper airway obstruction. Am Rev Respir Dis 125:757–758

    Google Scholar 

  11. Warren CPW (1979) Acute respiratory failure and tracheal obstruction in the elderly with benign goiters. Can Med Ass J 121:191–194

    Google Scholar 

  12. Gamsu G, Webb Wr (1982) Computed tomography of the trachea: normal and abnormal. AJR 139:321–326

    Google Scholar 

  13. Perelman M, Kololeva N (1980) Surgery of the trachea. World J Surg 4:583–593

    Google Scholar 

  14. Melliere D, Saada F, Etienne G, Becquemin JP, Bonnet F (1988) Goiter with severe respiratory compromise: Evaluation and treatment. Surgery 103:367–37

    Google Scholar 

  15. Wade JSM (1979) Respiratory obstruction in thyroid surgery. Ann R Coll Surg 62:15–24

    Google Scholar 

  16. Geelhoed GW (1988) Tracheomalacia from compressing goiter: Management after thyroidecotmy. Surgery 104:1100–1108

    Google Scholar 

  17. Shaha AR, Burnett C, Alfonso A, Jaffe BM (1989) Goiters and Airway Problems. Am J Surg 158:378–381

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Ayabe, H., Kawahara, K., Tagawa, Y. et al. Upper airway obstruction from a benign goiter. Surg Today 22, 88–90 (1992). https://doi.org/10.1007/BF00326133

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00326133

Key words

  • upper airway obstruction
  • benign goiter
  • acute resperatory failure