Document Type
Article
Department
Surgery; Otolaryngology, Head and Neck Surgery
Abstract
Abstract
A 56-year-old man presented with a 6-month history of progressively increasing neck swelling, dysphagia and hoarseness of voice. CT scan revealed multi-nodular goitre and also showed a lesion in the supraglottis. It also showed another lesion in the supraglottis. Fine-needle aspiration cytology of thyroid revealed follicular cells. Routine flexible laryngoscopy was performed to evaluate vocal cord function; however, we found a smooth well-defined lesion just above the glottis, obstructing the direct view of the vocal cords, and an endangered airway. A provisional diagnosis of a laryngeal cyst was made. With all necessary precautions intubation was performed with a bougie and a reinforced endotracheal tube was inserted. Total thyroidectomy was performed first. With direct suspension laryngoscopy an attempt was made to deliver the laryngeal lesion, however, the lesion could not be removed. A suprahyoid lateral pharyngotomy was performed to deliver the lesion. Histopathology of the lesion revealed hibernoma.
Publication (Name of Journal)
BMJ Case Rep
Recommended Citation
Iftikhar, H.,
Siddiqui, M.
(2015). Hibernoma larynx with large multinodular goitre: unusual airway challenge. BMJ Case Rep, 1136, 1-4.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_surg_surg/218