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Article: Benign nodular goitre presenting as acute airway obstruction

TitleBenign nodular goitre presenting as acute airway obstruction
Authors
Issue Date2007
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
ANZ Journal of Surgery, 2007, v. 77 n. 5, p. 364-367 How to Cite?
AbstractBACKGROUND: Although rare in non-endemic areas, benign nodular goitre may cause acute airway obstruction and the clinical management of this condition remains a challenge. METHODS: From 1996 to 2005, a total of 1115 patients underwent thyroid surgery at our institution and of these, 7 patients were identified to have a benign nodular goitre leading to acute airway obstruction. They were retrospectively reviewed with reference to the aetiology, presentation, perioperative management and postoperative outcome. RESULTS: All seven patients were elderly women with a history of symptomatic goitre and concomitant medical problems. Five patients required emergency tracheal intubation, whereas two patients underwent urgent tracheostomy. Total thyroidectomy was successfully carried out for all patients and there was no hospital death. Perioperative complications included three patients with pneumonia, two with renal failure and one with perforated duodenal ulcer. Surgically related complications included transient recurrent nerve palsy in one patient and transient hypocalcaemia in four. After a median follow up of 22 months (range, 4-53 months), two patients died of cerebrovascular accident. CONCLUSION: Prompt airway protection followed by total thyroidectomy within the same hospital admission should be recommended and can be associated with favourable outcome.
Persistent Identifierhttp://hdl.handle.net/10722/192065
ISSN
2015 Impact Factor: 1.158
2015 SCImago Journal Rankings: 0.432
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorAbraham, D-
dc.contributor.authorSingh, N-
dc.contributor.authorLang, B-
dc.contributor.authorChan, WF-
dc.contributor.authorLo, CY-
dc.date.accessioned2013-10-16T09:47:42Z-
dc.date.available2013-10-16T09:47:42Z-
dc.date.issued2007-
dc.identifier.citationANZ Journal of Surgery, 2007, v. 77 n. 5, p. 364-367-
dc.identifier.issn1445-1433-
dc.identifier.urihttp://hdl.handle.net/10722/192065-
dc.description.abstractBACKGROUND: Although rare in non-endemic areas, benign nodular goitre may cause acute airway obstruction and the clinical management of this condition remains a challenge. METHODS: From 1996 to 2005, a total of 1115 patients underwent thyroid surgery at our institution and of these, 7 patients were identified to have a benign nodular goitre leading to acute airway obstruction. They were retrospectively reviewed with reference to the aetiology, presentation, perioperative management and postoperative outcome. RESULTS: All seven patients were elderly women with a history of symptomatic goitre and concomitant medical problems. Five patients required emergency tracheal intubation, whereas two patients underwent urgent tracheostomy. Total thyroidectomy was successfully carried out for all patients and there was no hospital death. Perioperative complications included three patients with pneumonia, two with renal failure and one with perforated duodenal ulcer. Surgically related complications included transient recurrent nerve palsy in one patient and transient hypocalcaemia in four. After a median follow up of 22 months (range, 4-53 months), two patients died of cerebrovascular accident. CONCLUSION: Prompt airway protection followed by total thyroidectomy within the same hospital admission should be recommended and can be associated with favourable outcome.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS-
dc.relation.ispartofANZ Journal of Surgery-
dc.rightsThe definitive version is available at www3.interscience.wiley.com-
dc.subject.meshAirway Obstruction - etiology - surgery-
dc.subject.meshGoiter, Nodular - complications - surgery-
dc.subject.meshIntubation, Intratracheal-
dc.subject.meshRetrospective Studies-
dc.subject.meshTracheostomy-
dc.titleBenign nodular goitre presenting as acute airway obstructionen_US
dc.typeArticleen_US
dc.identifier.emailLang, B: blang@hkucc.hku.hk-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1445-2197.2007.04061.x-
dc.identifier.pmid17497977-
dc.identifier.scopuseid_2-s2.0-34248186066-
dc.identifier.hkuros127656-
dc.identifier.volume77-
dc.identifier.issue5-
dc.identifier.spage364-
dc.identifier.epage367-
dc.identifier.isiWOS:000246287300016-
dc.publisher.placeAustralia-

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