Skip to main content
Log in

Management of tracheal obstruction from thyroid diseases

  • Published:
World Journal of Surgery Aims and scope Submit manuscript

Abstract

Tracheal or laryngeal obstruction in thyroid disease is such a severe, though uncommon, threat that constant awareness of its occurrence and prevention should be the hallmark of the experienced thyroid surgeon. A high index of suspicion, thoughtful analysis of cases, willingness to accept that such a complication does not reflect on the surgeon's competence, and prophylactic elective use of tracheostomy in patients at high risk will afford safety to the patient and peace of mind to the surgeon.

Résumé

L'obstruction laryngée ou trachéale chez les malades atteints d'affection du corps thyroïde représente une menace sévère encore que rare. Tout chirurgien thyroïdien expérimenté doit la redouter et la prévenir. Pour ce faire il doit considérer avec attention les éléments qui militent en sa faveur, être persuadé qu'elle n'est pas fonction de son habileté technique et pratiquer sans hésitation une trachéotomie préventive chez le sujet à haut risque.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Meissner, W.A., Warren, S.: Tumors of the thyroid gland. Atlas of Tumor Pathology, Second Series, Fasicle 4, Washington, D.C., AFIP, 1969

    Google Scholar 

  2. Rossi, R., Cady, B., Meissner, W.A., Sedgwick, C.E., Werber, J.: Prognosis of undifferentiated carcinoma and lymphoma of the thyroid. Am. J. Surg.155:589, 1978

    Google Scholar 

  3. Cady, B., Sedgwick, C.E., Meissner, W.A., Bookwaiter, J.R., Romagosa, V., Werber, J.: Changing clinical, pathologic, therapeutic and survival patterns in differentiated thyroid carcinoma. Ann. Surg.184:541, 1976

    Google Scholar 

  4. Winship, T., Rosvoll, R.: Childhood thyroid cancer. Cancer14:734, 1961

    Google Scholar 

  5. Silliphant, W.M., Klinck, G.H., Levitin, M.S.: Thyroid carcinoma and death. A clinicopathological study of 193 autopsies. Cancer17:513, 1964

    Google Scholar 

  6. Thomas, C.G., Jr., Nunn, G.W., Buckwalter, J.A.: Indications for tracheostomy in patients with thyroid cancer. World J. Surg.(In press)

  7. Sirota, D.K., Segal, R.L.: Primary lymphomas of the thyroid gland. J.A.M.A.242:1743, 1979

    Google Scholar 

  8. Kyriakides, G., Sosin, H.: Anaplastic carcinoma of the thyroid. Ann. Surg.179:297, 1973

    Google Scholar 

  9. Djalilian, M., Beahrs, O.H., Devine, K.D., Weiland, L.H., DeSahto, L.W.: Intraluminal involvement of the larynx and trachea by thyroid cancer. Am. J. Surg.128:500, 1974

    Google Scholar 

  10. Lawson, W., Som, M.L., Biller, H.F.: Papillary adenocarcinoma of the thyroid invading the upper air passages. Ann. Otol. Rhinol. Larnyngol.86:751, 1977

    Google Scholar 

  11. Rotenberg, D., Lawson W.G., Van Nostrand, A.W.P.: Thyroid carcinoma presenting as a tracheal tumor. J. Otolarnygol.8:401, 1979

    Google Scholar 

  12. Dowling, E.A., Johnson, I.M., Collier, F.C.D., Dillard, R.A.: Intratracheal goiter: A clinico-pathologic review. Ann. Surg.156:258, 1962

    Google Scholar 

  13. Randolph, J., Grunt, J.A., Vawter, G.F.: The medical and surgical aspects of intratracheal goiter. N. Engl. J. Med.268:457, 1963

    Google Scholar 

  14. Green, W.E.R., Shepperd, H.W.H., Stevenson, H.M., Wilson, W.: Tracheal collapse after thyroidectomy. Br. J. Surg.66:554, 1979

    Google Scholar 

  15. Kamat, M.R., Kulkarni, J.N., Desai, P.B., Jussawalla, D.J.: Lingual thyroid: A review of 12 cases. Br. J. Surg.66:537, 1979

    Google Scholar 

  16. Peterson, M.C., Rovenstine, E.A.: Tracheal collapse complicating thyroidectomy. Curr. Res. Anesth. Analg.15:300, 1936

    Google Scholar 

  17. Thompson, N.W., Harkness, J.K.: Complications of total thyroidectomy for carcinoma. Surg. Gynecol. Obstet.131:861, 1970

    Google Scholar 

  18. Attie, J.N., Khafif, R.A.: Preservation of parathyroid glands during total thyroidectomy. Improved technique utilizing microsurgery. Am. J. Surg.130:399, 1975

    Google Scholar 

  19. Mountain, J.C., Stewart, G.R., Colcock, B.P.: The recurrent laryngeal nerve in thyroid operations. Surg. Gynecol. Obstet.133:978, 1971

    Google Scholar 

  20. Wang, C., Austin, L.V., Jr., Maloof, F.: Needle biopsy of the thyroid. Surg. Gynecol. Obstet.145:365, 1976

    Google Scholar 

  21. Sedgwick, C.E., Cady, B.: Surgery of the Thyroid and Parathyroid Glands. Philadelphia, W.B. Saunders, 1980, p. 182

    Google Scholar 

  22. Cady, B., Sedgwick, C.E., Meissner, W.A., Wool, M.S., Salzman, F.S., Werber, J.: Risk factor analysis in differentiated thyroid cancer. Cancer43:810, 1979

    Google Scholar 

  23. Chung, C.T., Sagerman, R.H., Ryoo, M.C., King, G.A., Yu, W.S., Dalal, P.S., Emmanuel, I.G.: External irradiation for malignant thyroid tumors. Radiology136:753, 1980

    Google Scholar 

  24. Casterline, P.F., Jaques, D.A., Blom, H., Wartofsky, L.: Anaplastic giant and spindle-cell carcinoma of the thyroid. Am. Cancer Soc.45:1689, 1980

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cady, B. Management of tracheal obstruction from thyroid diseases. World J. Surg. 6, 696–701 (1982). https://doi.org/10.1007/BF01655361

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01655361

Keywords

Navigation