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The myth of tracheomalacia and difficult intubation in cases of retrosternal goitre

Published online by Cambridge University Press:  08 March 2006

A.M.D. Bennett
Affiliation:
Norfolk & Norwich Hospital, Norwich, UK, and the James Paget Hospital, Great Yarmouth, UK
S.M. Hashmi
Affiliation:
Norfolk & Norwich Hospital, Norwich, UK, and the James Paget Hospital, Great Yarmouth, UK
D.J. Premachandra
Affiliation:
Norfolk & Norwich Hospital, Norwich, UK, and the James Paget Hospital, Great Yarmouth, UK

Abstract

Although it is widely believed that management of the airway is difficult in surgery for retrosternal goitre, a review of the literature, revealing management of 1969 patients with retrosternal goitre, provided scant evidence of difficult intubation or post-operative tracheomalacia resulting in tracheal collapse. This was reflected in our own series of 18 thyroidectomies for retrosternal goitre performed at our hospitals.

Type
Research Article
Copyright
© 2004 Royal Society of Medicine Press

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