PMC7533637_01
Shows the huge thyroid swelling with anterior and lateral views.
gr1.jpg
PMC7533637_01_gr1.jpg
fig0005
Type II Diabetes Mellitus and hypertension for 5 years, which were under good control with medications. The size of the neck swelling was increasing gradually but the patient complained about the rapid increase in size for the past 2 years (Fig. 1).
Shows preoperative video laryngoscopy shows supraglottic edema (a) and tracheal compression (b) of the patient.
gr2.jpg
PMC7533637_01_gr2.jpg
fig0010
Laryngoscopy conducted preoperatively showed supraglottic edema (Fig. 2a) and tracheal compression (Fig. 2b) with normal vocal cord mobility.
Shows Computed Tomography of the Neck with thyroid swelling more on the left with tracheal compression and no retrosternal or extracapsular extension. It also shows the displacement of the internal jugular vein and carotid posterolaterally.
gr3.jpg
PMC7533637_01_gr3.jpg
fig0015
Contrast-enhanced computed tomography on the neck was done suggestive of gross enlargement of thyroid gland across both sides of the neck (more on the left side) (Fig. 3). Right lobe measures approximately 9.6 x 5.8 x 6 cms and left lobe measures approximately 9.5 x 8 x 8 cms (Fig. 3).
Shows intraoperative findings - a) Horizontal neck Incision b) Exposure of the gland c) Extension of pyramidal lobe into the pre-epiglottic space, d) Specimen after removal.
gr4.jpg
PMC7533637_01_gr4.jpg
fig0020
A horizontal neck incision was given over the neck swelling extending bilaterally up to the mastoid tip (Fig. 4).
Shows a postoperative day 1 video laryngoscopy suggestive of bilateral abductor paresis.
gr5.jpg
PMC7533637_01_gr5.jpg
fig0025
Laryngoscopy was conducted and diagnosis of bilateral vocal cord abductor paresis was made (Fig. 5).