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Misaki M, Kawakita N, Hara T, Yamagami H, Takeuchi T, Miyamoto N, Sakamoto S, Inoue S, Goto M, Toba H, Takizawa H. Silicone stent placement for tracheal stenosis induced by a giant goiter due to Graves' disease: a case report. Gland Surg 2024; 13:578-583. [PMID: 38720672 PMCID: PMC11074657 DOI: 10.21037/gs-23-499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2023] [Accepted: 02/29/2024] [Indexed: 05/12/2024]
Abstract
Background Although thyroid tumors with tracheal stenosis are occasionally encountered, severe tracheal stenosis caused by benign thyroid tumors is rare. We herein describe a case in which a silicone tracheal stent was placed for severe tracheal stenosis induced by a giant goiter due to Graves' disease. Case Description A 93-year-old woman had been receiving thiamazole treatment for Graves' disease with a thyroid goiter for 32 years. She emergently presented to the hospital with sudden difficulty breathing and the temporary loss of consciousness. Although marked stridor was heard, the patient's respiratory status was stable in the first visit. Computed tomography revealed a giant thyroid goiter that extended to the mediastinum. The trachea was compressed by the sternal notch and thyroid gland, resulting in severe stenosis, and the tracheal lumen was only 1 mm. Surgical thyroidectomy was expected to be difficult due to the high risk of complications associated with the large size of the goiter and advanced age of the patient. Therefore, we decided to place a tracheal stent. A silicone stent (Dumon tube®) was inserted into the site of tracheal stenosis under general anesthesia. After stent placement, respiratory distress symptoms improved, and no complications were observed. Three months after stent placement, the stent opening side was narrowed due to defective granulation and, thus, was cauterized with argon plasma coagulation. Conclusions We encountered a patient who was treated by tracheal silicone stent placement for severe tracheal stenosis induced by a giant goiter due to Graves' disease. A silicone stent effectively secures the airway for benign thyroid tumors that cause severe airway stenosis.
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Affiliation(s)
- Mariko Misaki
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Naoya Kawakita
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Tomoyo Hara
- Department of Hematology, Endocrinology and Metabolism, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
| | - Hiroki Yamagami
- Department of Hematology, Endocrinology and Metabolism, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan
| | - Taihei Takeuchi
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Naoki Miyamoto
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Shinichi Sakamoto
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Seiya Inoue
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Masakazu Goto
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Hiroaki Toba
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
| | - Hiromitsu Takizawa
- Department of Thoracic, Endocrine Surgery and Oncology, Institute of Health, Biosciences, The University of Tokushima, Tokushima, Japan
- Department of Esophagus, Breast and Thyroid Surgery, Tokushima University Hospital, Tokushima, Japan
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Sasaki T, Onaga R, Koshu R. Case of delayed presentation of Pendred syndrome with a large goitre causing a life-threatening airway obstruction. BMJ Case Rep 2022; 15:e250990. [PMID: 35667695 PMCID: PMC9171189 DOI: 10.1136/bcr-2022-250990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
- Toru Sasaki
- Department of Otolaryngology - Head and Neck Surgery, Jichi Medical University, Shimotsuke-shi, Tochigi-ken, Japan
| | - Ryutaro Onaga
- Department of Otolaryngology - Head and Neck Surgery, Jichi Medical University, Shimotsuke-shi, Tochigi-ken, Japan
| | - Ryota Koshu
- Department of Otolaryngology - Head and Neck Surgery, Jichi Medical University, Shimotsuke-shi, Tochigi-ken, Japan
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