PMC3657934_01
Pre-operative photograph of the patient
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F1
The neck swelling was 30 cm x 15 cm x 10 cm in size, nodular, extending from lower jaw to below sternal notch [Figure 1].
X-ray showing tracheal compression in A-P but not in lateral view
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F2
Radiological examination revealed lateral displacement of the trachea to the right on antero-posterior view and no compression of trachea in lateral view [Figure 2].
CT scan showing distortion of the larynx by goiter
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F3
CT scan showed huge MNG with retrosternal extension [Figure 3].
a) Patient after intubation b) photograph of the patient after surgery and extubation
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F4
The breathing circuit was attached, and the tube placement was confirmed by movement of reservoir bag and capnography [Figure 4a]. Patient was extubated and kept in post-operative area for 24 hours before being discharged to ward [Figure 4b].