Surgery and Anesthesiological Approach for Giant Thyroid Goiter: An Unusual Case of Didactic Management
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Journal of Thyroid Disorders & Therapy offers the most comprehensive and reliable information pertaining to the latest developments in the field. The Journal also believes in advancing new hypotheses and opinions by means of its high-quality Reviews, Perspectives, and Commentaries. Thus, the content published in the journal is original and comprehensive.
Although giants goitres are frequently asymptomatic for a long time, its natural development always progresses eventually to compression of the trachea or oesophagus and result in clinical symptoms such as dyspnea or dysphagia. Surgical treatment can prevent: on the one hand, the inevitable evolution to compressive symptoms and the malignant transformation, and on the other hand, correct the aesthetic prejudice and functional discomfort of patients. The term ‘goiter’ is derived from the Latin phrase tumidum gutter (swollen throat) and refers to an abnormal enlargement of the thyroid gland. Giant goiter is defined by an enlargement of the thyroid gland of at least 10 g/kg body weight or a thyroid tumor larger than 10 cm in diameter. The WHO has categorized goiter according to its size, where class 0 corresponds to a palpable thyroid mass and class I to a visible and palpable cervical tumor and modified the curves and line of the neck. Class II is a very large goiter with retrosternal extension that makes the tracheal deviation, compression of the trachea and esophagus. These problems pose a significant difficult anaesthesiology and surgical management problem in lowincome countries. Because of its location, a massive goiter, in addition to being aesthetically disfiguring, can seriously compromise the permeability of the trachea and esophagus. In the literature, more reports are detailing the approach management of giant goiter but frequently limited to isolated case reports and small retrospective descriptive case series. Giant goiter is a rare problem encountered rarely by clinician.
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Denise Williams
Editorial Manager
Journal of Thyroid Disorders & Therapy
E-mail id: thyroiddisorders@longdomjournal.org