Tracheal Stenosis Caused by Nodular Goiter in a Patient after Previous Tracheostomy

Czech version

Authors: M. Hyravý ¹; M. Brož ¹; Richard Salzman ¹ ; V. Kolek ²
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku LF UP a FN Olomouc ¹; Klinika plicních nemocí a tuberkulózy LF UP a FN Olomouc ²
Published in: Otorinolaryngol Foniatr, 68, 2019, No. 3, pp. 166-170.
Category: Case Reports

Overview

In a case report we present a 59-year old patient with large goiter causing a respiratory insufficiency by tracheal compression in a place of previous tracheostomy. The resulting tracheal stenosis contraindicated surgical procedure under general anaesthesia. This condition was solved in cooperation with pneumologist. A tracheal stent insertion was followed by total thyroidectomy. The stent was removed four months after the surgery. Thereafter the patient had no breathing difficulties.

Keywords:

tracheal stenosis – nodular goiter – stent

Sources

1. Anders, H. J.: Compression syndromes caused by substernal goitres. Postgrad Med J, 74, 1998, 872, s. 327-329.

2. Banks, C. A., Ayers, C. M., Hornig, J. D. et al.: Thyroid disease and compressive symptoms. Laryngoscope, 122, 2012, 1, s. 13-16.

3. Berliner, D., Schneider, N., Welte, T. et al.: The differential diagnosis of dyspnoea, Dtsch Arztebl Int, 49, 2016, 113, s. 834-845.

4. Briscoe, M., Jr., Ulualp, S., Quinn, F. B. et al.: Pediatric congenital subglottic stenosis, Grand Rounds Presentation, UTMB, Dept of Otolaryngology, 2007.

5. Esclamado, R., Cummings, C.: Management of the impaired airway in adults. In Cummings, C., Otolaryngology head and neck surgery, 2nd edn. Mosby year Book Inc, New York, 1993, s. 1981-2019.

6. Freitag, L., Ernst, A., Unger, M. et al.: A proposed classification system of central airway stenosis. Eur Respir J, 30, 2007, 1, s. 7-12.

7. George, M., Lang, F., Pasche, P. et al.: Surgical management of laryngotracheal stenosis in adults. Eur Arch Otorhinolaryngol, 262, 2005, 8, s. 609-615.

8. Godoy, M. C., Saldana, D. A., Rao, P. P. et al.: Multidetector CT evaluation of airway stents: what the radiologist should know. Radiographics, 34, 2014, 7, s. 1793-1806.

9. Chin, C. S., Litle, V., Yun, J. et al.: Airway stents. Ann Thorac Surg, 85, 2008, 2, s. S792-796.

10. Janoušek, P., Kabelka, Z., Marková, M.: Zúžení hrtanu a průdušnice u dětí. Otorinolaryng a Foniat /Prague/, 55, 2006, 3, s. 161-167.

11. Kim, W. K., Shin, J. H., Kim, J. H. et al.: Management of tracheal obstruction caused by benign or malignant thyroid disease using covered retrievable self-expandable nitinol stents. Acta Radiol, 51, 2010, 7, s. 768-774.

12. Kolek, V., Jakubec, P., Losse, S. et al.: Bronchologická léčba tracheálních stenóz – dlouhodobé sledování. Stud Pneumol Phthiseol, 78, 2018, 2, s. 46-50.

13. Kolek, V.: Význam Y stentů u procesů v centrálních dýchacích cestách – dlouhodobé sledování. Stud Pneumol Phthiseol, 76, 2016, 5, s. 181-186.

14. Lorenz, R. R.: Adult laryngotracheal stenosis: etiology and surgical management. Curr Opin Otolaryngol Head Neck Surg, 11, 2003, 6, s. 467-472.

15. Miller, R., Murgu, S.: Evaluation and classifications of laryngotracheal stenosis. RAMR, 2014, 4, s. 344-357.

16. Morshed, K., Trojanowska, A., Szymanski, M. et al.: Evaluation of tracheal stenosis: comparison between computed tomography virtual tracheobronchoscopy with multiplanar reformatting, flexible tracheofiberoscopy and intra-operative findings. Eur Arch Otorhinolaryngol, 268, 2011, 4, s. 591-597.

17. Noppen, M., Poppe, K., D‘Haese, J. et al.: Interventional bronchoscopy for treatment of tracheal obstruction secondary to benign or malignant thyroid disease. Chest, 125, 2004, 2, s. 723-730.

18. Piao, M., Yuan, Y., Wang, Y. et al.: Successful management of trachea stenosis with massive substernal goiter via thacheobronchial stent. J Cardiothorac Surg, 8, 2013, s. 212.

19. Rios, A., Rodriguez, J. M., Canteras, M. et al.: Surgical management of multinodular goiter with compression symptoms. Arch Surg, 140, 2005, 1, s. 49-53.

20. Sharma, A., Naraynsingh, V., Teelucksingh, S.: Benign cervical multi-nodular goiter presenting with acute airway obstruction: a case report. J Med Case Rep, 4, 2010, s. 258.

21. Stehlik, L., Hytych, V., Letackova, J. et al.: Biodegradable polydioxanone stents in the treatment of adult patients with tracheal narrowing. BMC Pulm Med, 15, 2015, s. 164.

22. Šteffl, M.: Použití stentů a chirurgie při léčbě průdušnicového zúžení, Brno, 2005, Doktorská dizertační práce (Ph.D.), Masarykova univerzita, Lékařská fakulta, ORL oddělení Fakultní nemocnice Brno-Bohunice, 12. 12. 2006

23. Toyota, K., Uchida, H., Ozasa, H. et al.: Preoperative airway evaluation using multi-slice three-dimensional computed tomography for a patient with severe tracheal stenosis. Br J Anaesth, 93, 2004, 6, s. 865-867.

24. Zias, N., Chroneou, A., Tabba, M. K. et al.: Post tracheostomy and post intubation tracheal stenosis: report of 31 cases and review of the literature. BMC Pulm Med, 8, 2008, s. 18.