{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:56:28Z","timestamp":1774544188206,"version":"3.50.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T00:00:00Z","timestamp":1703721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Nontoxic nodular goiter is one of the most prevalent thyroid conditions worldwide. Thyroidectomy for large goiters has a relatively high risk of postoperative airway obstruction, with tracheomalacia being one of the potential complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report:<\/jats:title>\n                    <jats:p>A 61-year-old woman complained of a lump in her neck for 45 years. The node is progressively enlarged, but she did not experience any breathing difficulty, hoarseness, or pain while swallowing. A total thyroidectomy was then performed. The histopathologic examination revealed colloid goiter. During the procedure, evaluation of the trachea revealed a tracheomalacia, so a tracheotomy was then performed on the patient. After a follow-up period of three months, the patient was no longer experiencing tracheomalacia, and the tracheostomy was successfully closed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Surgery has been considered an acceptable approach for managing non-toxic goiter. The most common indications are compressive symptoms, substernal extension, inability to control hyperthyroidism through medication, and a suspicion of malignancy. However, thyroidectomy for large goiter carries a relatively high risk of postoperative respiratory obstruction. Diagnosing tracheomalacia can be challenging and often relies on bronchoscopy to assess the airway and observe the collapse of cartilage and membranes. Acquired tracheomalacia can be managed through internal or external stenting or tracheostomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Total thyroidectomy has been recommended as a suitable procedure for non-toxic and toxic multinodular goiter. Tracheomalacia may occur following thyroidectomy in patients with thyroid enlargement. Tracheostomy effectively manages tracheomalacia by creating a channel across the malacia's focal segment, restoring the airway's patency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109211","type":"journal-article","created":{"date-parts":[[2024,1,3]],"date-time":"2024-01-03T15:45:26Z","timestamp":1704296726000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Tracheomalacia following a total thyroidectomy in a patient with a large non-toxic goiter: A case report"],"prefix":"10.1097","volume":"116","author":[{"given":"Widyanti","family":"Soewoto","sequence":"first","affiliation":[{"name":"Surgical Oncology Department, Medical Faculty of Universitas Sebelas Maret, Dr. Moewardi Hospital, Surakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meirisa","family":"Ardianti","sequence":"additional","affiliation":[{"name":"Surgery Department, Medical Faculty of Universitas Sebelas Maret, Dr. Moewardi Hospital, Surakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"1","key":"R1-3-20260326","first-page":"46","article-title":"Prevalence of nontoxic nodular goiter after a nearly two-decade universal salt iodization in a littoral region of Shandong Province, China","volume":"12","author":"Shao,","year":"2016","journal-title":"Acta Endocrinol."},{"issue":"2","key":"R2-3-20260326","first-page":"131","article-title":"A review of the pathology, diagnosis and management of colloid goitre","volume":"16","author":"Hoang,","year":"2020","journal-title":"Eur. Endocrinol."},{"issue":"1","key":"R3-3-20260326","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1046\/j.1365-2168.1999.00978.x","article-title":"Respiratory complications after thyroidectomy and the need for tracheostomy in patients with a large goiter","volume":"86","author":"Rahim,","year":"1999","journal-title":"Br. J. Surg."},{"issue":"1","key":"R4-3-20260326","first-page":"62","article-title":"\u201cTrakeomalasia after thyroidectomy,\u201d does it truly exist?","volume":"26","author":"Valizadeh,","year":"2020","journal-title":"Niger. J. Surg."},{"issue":"5","key":"R5-3-20260326","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"issue":"4","key":"R6-3-20260326","doi-asserted-by":"crossref","first-page":"832","DOI":"10.1007\/s00268-006-0565-8","article-title":"High incidence of tracheomalacia in longstanding goiters: experience from an endemic goiter region","volume":"31","author":"Agarwal,","year":"2007","journal-title":"World J. Surg."},{"issue":"6","key":"R8-3-20260326","doi-asserted-by":"crossref","first-page":"901","DOI":"10.1016\/j.beem.2008.09.019","article-title":"Epidemiology of thyroid nodules","volume":"22","author":"Dean,","year":"2008","journal-title":"Best Pract. Res. Clin. Endocrinol. Metab."},{"key":"R9-3-20260326","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2018\/4735436","article-title":"Nontoxic multinodular goitre and incidental thyroid cancer: what is the best surgical strategy? - A retrospective study of 2032 patients","volume":"2018","author":"Kaliszewski,","year":"2018","journal-title":"Int. J. Endocrinol."},{"issue":"Suppl. 1","key":"R10-3-20260326","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1016\/j.ijsu.2015.12.041","article-title":"Bilateral benign multinodular goiter: what is the adequate surgical therapy? A review of the literature","volume":"28","author":"Mauriello,","year":"2016","journal-title":"Int. J. Surg."},{"issue":"1","key":"R11-3-20260326","doi-asserted-by":"crossref","first-page":"S49","DOI":"10.21037\/gs.2017.10.02","article-title":"Less than total thyroidectomy for goiter: when and how?","volume":"6","author":"Makay,","year":"2017","journal-title":"Gland Surg."},{"issue":"3","key":"R13-3-20260326","first-page":"328","article-title":"Trakeomalasia: a rare complication after thyroidectomy","volume":"52","author":"Tripathi,","year":"2008","journal-title":"Indian J. Anaesth."},{"issue":"2","key":"R14-3-20260326","doi-asserted-by":"crossref","first-page":"96","DOI":"10.5005\/jp-journals-10002-1145","article-title":"Management of post-thyroidectomy tracheomalacia","volume":"6","author":"Mayilvaganan,","year":"2014","journal-title":"World J. Endoc. Surg."},{"issue":"4","key":"R15-3-20260326","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1136\/adc.83.4.340","article-title":"Trakeomalasia and breath holding: a case report","volume":"83","author":"Griffiths,","year":"2000","journal-title":"Arch. Dis. Child."},{"issue":"1","key":"R17-3-20260326","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s42077-020-00061-2","article-title":"Thyroid cancer and post thyroidectomy tracheomalacia: algorithm for decoding a diagnostic dilemma!","volume":"12","author":"Shah,","year":"2020","journal-title":"Ain Shams J. Anesthesiol."},{"issue":"4","key":"R18-3-20260326","article-title":"Airway complications and outcome after thyroidectomy in Ibadan: a 15-year review","volume":"8","author":"Ayandipo,","year":"2016","journal-title":"Arch. Med."},{"issue":"10","key":"R19-3-20260326","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1258\/0022215042450751","article-title":"The myth of tracheomalacia and difficult intubation in cases of retrosternal goiter","volume":"118","author":"Bennett,","year":"2004","journal-title":"J. Laryngol. Otol."}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223013408?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223013408?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109211","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:00:10Z","timestamp":1774540810000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109211"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":16,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109211","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"2023-11-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}