Abstract
Abstract
Goiter when significant can affect the airway. Most commonly this results in tracheal deviation and may not be associated with any significant tracheal compression, compromise, or airway symptomatology. Goiter may affect the airway especially through inferior extension into the lower neck base and extension substernally given the bony confines of the thoracic inlet affecting the subglottic and tracheal airway. However, if the superior pole is significantly enlarged, goiter may affect the supraglottic airway. This can present clinical distress through hypopharyngeal level airway obstruction and poses a significant issue as it relates to intubation for thyroidectomy. We present such a case and focus on preoperative assessment and the perioperative management with awake flexible fiber optic intubation of a neural monitoring tube.
No competing financial interests exist.
Runtime of video: 8 mins
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