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Abstract：
Retrosternal extension of the goiter can cause compression of the trachea, esophagus and major blood vessels. Airway management is indeed a challenge in patients with airway obstructive signs and symptoms and it is based on the severity of the patient\'s clinical symptoms, availability of airway equipments, familiarity and expertise. We encountered a patient with retrosternal goiter with tracheal compression, presented for surgery required pediatric Fiber-Optic Bronchoscope (FOB) for securing the airway. A 45 year female patient presented with a swelling in front of the neck for 6 months. Recently, she developed intermittent stridor which was aggravated by lying supine. In computed tomography, there was a retrosternal extension of thyroid gland into superior mediastinum causing tracheal compression and narrowing (80%). Awake fiber-optic intubation with paediatric FOB was used to secure the airway before induction of anaesthesia. Paediatric FOB can be useful to secure airway in patients with tracheal compression and narrowing.
摘要：
甲状腺肿的胸骨后延伸会导致气管受压，食道和主要血管。气道管理对于有气道阻塞体征和症状的患者确实是一个挑战，它是基于患者临床症状的严重程度，气道设备的可用性，熟悉和专业知识。我们遇到了一个胸骨后甲状腺肿伴气管压迫的患者，手术需要小儿纤维支气管镜（FOB）固定气道。一名45岁的女性患者出现颈部前肿胀6个月。最近,她出现间歇性喘鸣，仰卧加重了喘鸣。在计算机断层扫描中，甲状腺胸骨后向上纵隔延伸，导致气管受压和狭窄（80％）。在诱导麻醉之前，使用带有儿科FOB的清醒光纤插管来固定气道。儿科FOB能有用稳固气道患者的气管压缩和变窄。
