Background: Multinodular goiter is a relatively common thyroid disorder with a marked female preponderance. Most of these goiters weigh less than 100 grams with those weighing more than 500 grams being exceptional. The massively expanding goiter due to the strategic anatomic location of thyroid gland, in addition to being cosmetically disfiguring can seriously compromise the patency of the trac...

Severe adult tracheomalacia is a dangerous disease that is difficult to manage, particularly at the time of airway infection, and has a high mortality rate. The present study reports the diagnosis and treatment of an elderly patient with severe adult tracheomalacia. In March 2012, the 59-year-old patient presented with progressive dyspnea to the Department of Respiratory Medicine, Taizhou Peopl...

Abstract Stenosis reduces the effective lumen area in tracheal and bronchial segments of airway anatomy. Loss patency due to obstruction increases resistance airflow; thus, severe narrowing is often associated with morbidity mortality. Etiologies such as congenital stenosis, tracheomalacia, laryngeal subglottic atresia are few among many pathologies causing major respiratory distress. Diagnosis...

BACKGROUND Complications associated with long-term tracheotomy are obstruction of the distal end of the tube by granulation tissue and tracheomalacia. These complications have traditionally been surgically treated. METHODS Prospective study in a chronic ventilator-dependent division, including 234 consecutive patients with tracheotomy and mechanical ventilation. Endoscopic evaluation was perf...

Metallic tracheal stents have been used in the treatment of paediatric tracheomalacia for more than a decade. We describe a case in which critical airway obstruction occurred during removal of a welded tracheal stent using a rigid bronchoscope under general anaesthesia. Life-saving cardiopulmonary bypass was instituted urgently, and the welded stent was then removed successfully by directly ope...

Massive goiter with retrosternal extension may impose additional risk such as difficult intubation, tracheomalacia, and possibility of different incision and approach including sternotomy. We would like to report a case of massive goiter encasing major neck structures and how it was managed.

its adjacent structures can cause tracheal damage such as ulceration of the mucosa, tracheal stenosis, tracheoesophageal fistula, tracheomalacia and neck abscess. We describe a case of upper tracheal necrosis as a complication of total thyroidectomy in a hyperthyroid patient, highlighting some of the difficulties presented by a thyrotoxic goitre, which, to our knowledge has not been reported be...