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PAFMJ. 2016; 66(0): S109-S112


AIRWAY MANAGEMENT IN LARGE ANAPLASTIC THYROID CARCINOMA

Zeeshan Ayub, Azeema Ahmed, Syed Nadeem Ul Haq.

Abstract
Objective: To demonstrate use of nasotracheal intubation in airway management of large anaplastic thyroid carcinoma.
Study Design: Descriptive case series.
Place and Duration of Study: Combined Military Hospital Lahore, from January 2014 to May 2015
Material and Methods: Respiratory compromise in five cases of an a plastic thyroid carcinoma were managed by nasotracheal intubation. Following intubation a planned tracheostomy was carried out. Airway was secured using a modified tracheostomy tube.
Result: Of the five cases in this descriptive case series, 2 (40%) were females and 3(60%) were males. Airway in all patients were managed with nasotracheal intubation and modified tracheostomy tube.
Conclusion: Management of large anaplastic carcinoma requires some modifications in terms of intubation and tracheostomy.

Key words: Anaplastic Thyroid Carcinoma, Nasotracheal, Tracheostomy.



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