- Version
- Download 76254
- File Size 0.00 KB
- File Count 1
- Create Date May 15, 2026
- Last Updated May 15, 2026
Anesthesia Management of a Patient with Massive Goiter: A Case Report
Deying Xie1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China
Corresponding Author: Deying Xie
Address: Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan 611743, P.R. China.
Received date: 22 April 2026; Accepted date: 07 May 2026; Published date: 14 May 2026
Citation: Xie D. Anesthesia Management of a Patient with Massive Goiter: A Case Report. Asp Biomed Clin Case Rep. 2026 May 14;9(2):62-65.
Copyright © 2026 Xie D. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Massive Goiter, Thyroidectomy, Airway Management, Awake Fiberoptic Intubation, Anesthetic Management
Abstract
Introduction: Massive goiter may compress the trachea, causing tracheal deviation and structural abnormalities, resulting in dyspnea. Most patients present with multiple cardiopulmonary complications. Therefore, airway management in such patients carries considerable risks during anesthesia and surgery, and perioperative anesthetic management is relatively complex.
Case Presentation: A 78-year-old woman was admitted to the Department of Thyroid Surgery with complaints of a cervical mass with dyspnea. Preoperative multidisciplinary evaluation, detailed airway assessment, and a personalized anesthetic plan were formulated. General anesthesia with awake fiberoptic bronchoscope intubation was adopted. Perioperative vital signs, airway patency, and thyroid-related hormone levels were closely monitored. The operation was completed smoothly, and the patient recovered well without perioperative airway complications, recurrent laryngeal nerve injury, or thyroid crisis.
Conclusion: This case summarizes the key points of anesthetic management for massive goiter resection, providing a clinical reference for similar cases.