Adult tracheomalacia can be caused by long standing goitre or malignant infiltration and has a high morbidity. We anticipated possibility of postoperative tracheomalacia (based on preoperative dynamic cervical sonography and radiographic evidence), in both the cases presented here. A high index of suspicion helped in timely detection of this complication. An algorithm to decode tracheomalacia is constructed here. Elective endotracheal tube (ETT) retention postoperatively, followed by a planned, trial tracheal extubation with gradual ETT withdrawal under bronchoscopic guidance in the OT, several days post-surgery was employed. ETT re-insertion followed by an elective tracheostomy was performed on bronchoscopic confirmation of tracheomalacia.
Shah, S. B., & Kulkarni, A. (2020). Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma!. Ain-Shams Journal of Anesthesiology, 12(1), -. doi: 10.1186/s42077-020-00061-2
MLA
Shagun B. Shah; A. Kulkarni. "Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma!", Ain-Shams Journal of Anesthesiology, 12, 1, 2020, -. doi: 10.1186/s42077-020-00061-2
HARVARD
Shah, S. B., Kulkarni, A. (2020). 'Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma!', Ain-Shams Journal of Anesthesiology, 12(1), pp. -. doi: 10.1186/s42077-020-00061-2
VANCOUVER
Shah, S. B., Kulkarni, A. Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma!. Ain-Shams Journal of Anesthesiology, 2020; 12(1): -. doi: 10.1186/s42077-020-00061-2