PDF(Pubmed)
Abstract：
UNASSIGNED: Although thyroid tumors with tracheal stenosis are occasionally encountered, severe tracheal stenosis caused by benign thyroid tumors is rare. We herein describe a case in which a silicone tracheal stent was placed for severe tracheal stenosis induced by a giant goiter due to Graves\' disease.
UNASSIGNED: A 93-year-old woman had been receiving thiamazole treatment for Graves\' disease with a thyroid goiter for 32 years. She emergently presented to the hospital with sudden difficulty breathing and the temporary loss of consciousness. Although marked stridor was heard, the patient\'s respiratory status was stable in the first visit. Computed tomography revealed a giant thyroid goiter that extended to the mediastinum. The trachea was compressed by the sternal notch and thyroid gland, resulting in severe stenosis, and the tracheal lumen was only 1 mm. Surgical thyroidectomy was expected to be difficult due to the high risk of complications associated with the large size of the goiter and advanced age of the patient. Therefore, we decided to place a tracheal stent. A silicone stent (Dumon tube®) was inserted into the site of tracheal stenosis under general anesthesia. After stent placement, respiratory distress symptoms improved, and no complications were observed. Three months after stent placement, the stent opening side was narrowed due to defective granulation and, thus, was cauterized with argon plasma coagulation.
UNASSIGNED: We encountered a patient who was treated by tracheal silicone stent placement for severe tracheal stenosis induced by a giant goiter due to Graves\' disease. A silicone stent effectively secures the airway for benign thyroid tumors that cause severe airway stenosis.
UNASSIGNED: A 93-year-old woman had been receiving thiamazole treatment for Graves\' disease with a thyroid goiter for 32 years. She emergently presented to the hospital with sudden difficulty breathing and the temporary loss of consciousness. Although marked stridor was heard, the patient\'s respiratory status was stable in the first visit. Computed tomography revealed a giant thyroid goiter that extended to the mediastinum. The trachea was compressed by the sternal notch and thyroid gland, resulting in severe stenosis, and the tracheal lumen was only 1 mm. Surgical thyroidectomy was expected to be difficult due to the high risk of complications associated with the large size of the goiter and advanced age of the patient. Therefore, we decided to place a tracheal stent. A silicone stent (Dumon tube®) was inserted into the site of tracheal stenosis under general anesthesia. After stent placement, respiratory distress symptoms improved, and no complications were observed. Three months after stent placement, the stent opening side was narrowed due to defective granulation and, thus, was cauterized with argon plasma coagulation.
UNASSIGNED: We encountered a patient who was treated by tracheal silicone stent placement for severe tracheal stenosis induced by a giant goiter due to Graves\' disease. A silicone stent effectively secures the airway for benign thyroid tumors that cause severe airway stenosis.
摘要：
■尽管偶尔会遇到伴有气管狭窄的甲状腺肿瘤，良性甲状腺肿瘤引起的严重气管狭窄很少见。我们在此描述了一个病例，其中放置了硅胶气管支架治疗因Graves病引起的巨大甲状腺肿引起的严重气管狭窄。
一名93岁的妇女因患有甲状腺甲状腺肿的Graves\'病接受甲咪唑治疗32年。她紧急地出现在医院，突然呼吸困难和暂时失去知觉。尽管听到了明显的喘息声，患者首次就诊时呼吸状态稳定.计算机断层扫描显示巨大的甲状腺甲状腺肿延伸到纵隔。气管被胸骨切迹和甲状腺压迫,导致严重狭窄，气管腔只有1毫米。由于与甲状腺肿大和患者高龄相关的并发症风险很高，因此手术甲状腺切除术预计将很困难。因此,我们决定放一个气管支架.在全身麻醉下将硅胶支架(Dumon管®)插入气管狭窄部位。支架置入后,呼吸窘迫症状改善，无并发症发生。支架置入后三个月，支架开口侧由于有缺陷的颗粒化而变窄，因此，用氩等离子体凝固术烧灼。
■我们遇到了一名患者，该患者因Graves病引起的巨大甲状腺肿引起的严重气管狭窄，接受了气管硅胶支架置入治疗。硅胶支架可有效固定导致严重气道狭窄的良性甲状腺肿瘤的气道。
一名93岁的妇女因患有甲状腺甲状腺肿的Graves\'病接受甲咪唑治疗32年。她紧急地出现在医院，突然呼吸困难和暂时失去知觉。尽管听到了明显的喘息声，患者首次就诊时呼吸状态稳定.计算机断层扫描显示巨大的甲状腺甲状腺肿延伸到纵隔。气管被胸骨切迹和甲状腺压迫,导致严重狭窄，气管腔只有1毫米。由于与甲状腺肿大和患者高龄相关的并发症风险很高，因此手术甲状腺切除术预计将很困难。因此,我们决定放一个气管支架.在全身麻醉下将硅胶支架(Dumon管®)插入气管狭窄部位。支架置入后,呼吸窘迫症状改善，无并发症发生。支架置入后三个月，支架开口侧由于有缺陷的颗粒化而变窄，因此，用氩等离子体凝固术烧灼。
■我们遇到了一名患者，该患者因Graves病引起的巨大甲状腺肿引起的严重气管狭窄，接受了气管硅胶支架置入治疗。硅胶支架可有效固定导致严重气道狭窄的良性甲状腺肿瘤的气道。
