Karnataka Anaesthesia Journal

Open Access Open Access  Restricted Access Subscription Access

Lingual Thyroid - Is awake Fibreoptic Intubation Ideal?


Affiliations
1 Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka, India
 

Lingual thyroid is a rare developmental anomaly, resulting from failure in the descent of the thyroid tissue. Airway management of such patients is challenging due to the presence of the vascular, fragile mass in the midline on the dorsum of the tongue with inherent risk of bleeding on touch and possible rapid deterioration in the chances of securing the airway once the bleeding starts. Preoperative airway assessment, adequate planning and preparedness, expertise can prevent catastrophic complications. Despite patient co-operation, presence of expertised personnel, unique challenges can arise on an individual case to case basis. Presence of mind and institution of novel combined manoeuvres depending upon the need of the hour can aid in overcoming the obstacles and ensuring successful outcome.

Keywords

Airway Management, Bleeding, Lingual Thyroid, Trauma.
User
Notifications
Font Size

  • Ulug T, Ulubil SA, Alagol F. Dual ectopic thyroid: report of a case. J. Laryngol. Otol., 2003; 117:574-576. https://doi.org/10.1258/002221503322113076. PMid:12901819.

  • Douglas PS, Baker AW. Lingual thyroid. Br. J. Oral. Maxillofac. Surg., 1994; 32:123-124. https://doi.org/10.1016/0266-4356(94)90144-9.

  • Caplan RA, Posner KL, Ward RJ, Cheney FW. Adverse respiratory events in anaesthesia: A closed claims analysis. Anesthesiology, 1990; 72:828-833. https://doi.org/10.1097/00000542-199005000-00010. PMid:2339799.

  • Choudhury BK, Saikia UK. Dual ectopic thyroid with normally located thyroid: A case report. J. Thyroid Res., 2011; 2011:159703. https://doi.org/10.4061/2011/159703. PMid:21765986 PMCid:PMC3134180.

  • Eli SU, Marnane C. Ectopic, submandibular thyroid causing hyperthyroidism. J. Laryngol. Otol., 2011; 125:1091-1093. https://doi.org/10.1017/S0022215111000855. PMid:21774845.

  • Ghiasi S, Bayazian G, Khansarinia A. Dysphagia and dyspnea by lingual thyroid mass: An appropriate approach. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2015; 16:95-99. https://doi.org/10.1016/j.ejenta.2014.11.002.

  • Khatavkar SS, Bhalekar SB, Sai N, Divya T. Lingual thyroid as anesthetic challenge. Anaesth Pain and Intensive Care, 2016; 20:59-61.


Abstract Views: 67

PDF Views: 65




  • Lingual Thyroid - Is awake Fibreoptic Intubation Ideal?

Abstract Views: 67  |  PDF Views: 65

Authors

Roopa Sachidanand
Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka, India
Dharmesh Arvind Ladhad
Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka, India
M. Anish Kumar
Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka, India
Vikram Kemmannu Bhat
Department of Anaesthesiology, Karnataka Institute of Medical Sciences, Hubballi – 580022, Karnataka, India

Abstract


Lingual thyroid is a rare developmental anomaly, resulting from failure in the descent of the thyroid tissue. Airway management of such patients is challenging due to the presence of the vascular, fragile mass in the midline on the dorsum of the tongue with inherent risk of bleeding on touch and possible rapid deterioration in the chances of securing the airway once the bleeding starts. Preoperative airway assessment, adequate planning and preparedness, expertise can prevent catastrophic complications. Despite patient co-operation, presence of expertised personnel, unique challenges can arise on an individual case to case basis. Presence of mind and institution of novel combined manoeuvres depending upon the need of the hour can aid in overcoming the obstacles and ensuring successful outcome.

Keywords


Airway Management, Bleeding, Lingual Thyroid, Trauma.

References