Venolaryngeal Obstruction Syndrome (VLOS): Characterizing Airway Obstruction in Massive Thyroid Goiters.

Evan C Compton, Christopher M Johnson, Gregory N Postma, David J Terris

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Article in The Annals of otology, rhinology, and laryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 authors.

Evan C ComptonMedical College of Georgia, Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, GA, USA.ORCID 0000-0001-8956-0431

Christopher M JohnsonMedical College of Georgia, Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, GA, USA.

Gregory N PostmaMedical College of Georgia, Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, GA, USA.

David J TerrisMedical College of Georgia, Department of Otolaryngology, Head and Neck Surgery, Augusta University, Augusta, GA, USA.

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6 · The paper itself

Abstract

objectivesCharacterize the presentation of chronic airway obstruction for patients presenting with massive thyroid goiters.

methodsDemographic data acquisition was undertaken on 5 patients who presented with a compressive goiter and had pre-operative severe airway obstruction secondary to supraglottic and laryngeal edema. Each patient had a resolution of severe airway obstruction post-thyroidectomy.

resultsIn all, 5 patients were diagnosed with severe airway obstruction due to chronic obstruction by a thyroid goiter. Several airway management interventions were pursued during definitive surgery (conventional or videolaryngoscopic intubation and a hybrid endoscopic approach incorporating the Seldinger technique). Successful thyroidectomy led to rapid resolution of laryngeal edema.

conclusionVenolaryngeal obstruction syndrome is proposed as a term to describe the laryngeal findings in compressive goiters. The pathophysiological sequence resulting in chronic airway obstruction may have similar mechanisms to expanding neck hematomas after thyroid surgery.

Indexed as

Airway ObstructionGoiterLaryngeal EdemaHumansIntubation, IntratrachealLaryngoscopySyndromeThyroidectomyairway obstructioncomplicationsendocrine surgical procedureslaryngeal edemathyroidectomy

Identifiers

PMID39898437

DOI10.1177/00034894251315361

PMCPMC12009442

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