Successful Treatment of Tracheal Invasion Caused by Thyroid Cancer Using Endotracheal Tube Balloon Inflation under Flexible Bronchoscopic Guidance

Tracheal invasion is an uncommon complication of thyroid cancer, but it can cause respiratory failure. A rigid bronchoscope may be used to help relieve airway obstruction, but general anesthesia is usually required. Tracheal balloon dilatation and stent insertion can be performed without general ane...

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Bibliographic Details
Published inTuberculosis and respiratory diseases Vol. 77; no. 5; pp. 215 - 218
Main Authors Han, Yang-Hee, Jung, Bock-Hyun, Kwon, Jun Sung, Lim, Jaemin
Format Journal Article
LanguageKorean
Published 2014
Subjects
Bronchoscopy
Thyroid Neoplasms
Neoplasm Invasiveness
Endotracheal Intubation
Aged
Trachea
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Summary:Tracheal invasion is an uncommon complication of thyroid cancer, but it can cause respiratory failure. A rigid bronchoscope may be used to help relieve airway obstruction, but general anesthesia is usually required. Tracheal balloon dilatation and stent insertion can be performed without general anesthesia, but complete airway obstruction during balloon inflation may be dangerous in some patients. Additionally, placement of the stent adjacent to the vocal cords can be technically challenging. An 86-year-old female patient with tracheal invasion resulting from thyroid cancer was admitted to our hospital because of worsening dyspnea. Due to the patient's refusal of general anesthesia and the interventional radiologist's difficulty in completing endotracheal stenting, we performed endotracheal tube balloon dilatation and argon plasma coagulation. We have successfully treated tracheal obstruction in the patient with thyroid cancer by using endotracheal tube balloon inflation and a flexible bronchoscope without general anesthesia or airway obstruction during balloon inflation.
Bibliography:KISTI1.1003/JNL.JAKO201400841250880
ISSN:1738-3536
2005-6184