Advertisement

 

 

Novel strategy of stents in thyroid mass: a case series report of managing severely dyspneic patients.

Novel strategy of stents in thyroid mass: a case series report of managing severely dyspneic patients.
Author Information (click to view)

Bhandari A, Wang YH, Lv SX, Xia EJ, Wang OC,


Bhandari A, Wang YH, Lv SX, Xia EJ, Wang OC, (click to view)

Bhandari A, Wang YH, Lv SX, Xia EJ, Wang OC,

Advertisement
Share on FacebookTweet about this on TwitterShare on LinkedIn

OncoTargets and therapy 2017 10 1610() 4997-5004 doi 10.2147/OTT.S145418

Abstract
BACKGROUND
Tracheal and bronchial stenosis is a life-threatening condition causing difficulty in breathing and even severe respiratory distress. The silicone tracheobronchial stents were placed using the rigid bronchoscopy into the trachea of severe dyspneic patients and they exhibited symptomatic improvement as well as a rise in the saturation of oxygen. The bronchial stents were applicable to many extensive malignant airway stenosis patients, such as those with esophageal cancer, lung cancer, and laryngeal cancer. But the effectiveness of bronchial stents for thyroid cancer is not certain.

CASE PRESENTATION
Here, we report 3 emergency patients with a thyroid mass referred to our hospital because of grade 4 dyspnea according to the American Thoracic Society shortness of breath guidelines. The main clinical symptoms were severe dyspnea and stridor. The radiographic examination and tomographic examination showed the narrowing and displacement of the trachea. To the best of our knowledge, ideal airway management for the massive thyroid mass was considered to be temporary tracheobronchial stent placement pre-operation.

CONCLUSION
In our study, we applied the tracheobronchial stent to massive thyroid mass patients with dyspnea and aimed to not only improve preoperative airway obstruction but also to protect the potential airway collapse from post-operative tracheomalacia following extubation. We found that application of tracheobronchial stents may provide a new strategy to dyspneic patients with huge thyroid mass.

Submit a Comment

Your email address will not be published. Required fields are marked *

nineteen + fifteen =

[ HIDE/SHOW ]