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Journal of Case Reports
Placement of Expandable Intratracheal Silicon Stent for Riedel’s Thyroiditis

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Ersin Gurkan DUMLU¹, Fahri YETISIR¹, Murat Baki YILDIRIM¹, Mehmet Tokaç¹, Ibrahim Kilinç¹, Sefika Burçak Polat², Tülin Gümüs³, Mehmet  KILIC4
From the Department of General Surgery1,  Department of General Endocrinology2, Department  of Anesthesiology3, Ataturk Research and Training Hospital, Ankara 06800, Turkey; Department of General Surgery4, Yildirim Beyazit University, Ankara 06800, Turkey.
Corresponding Author:
Dr. Ersin Gurkan DUMLU
Email: gurkandumlu@gmail.com
Received: 6 AUG 2013 Accepted: 4-SEP-2013 Published Online: 20-SEP-2013
DOI: http://dx.doi.org/10.17659/01.2013.0078
Abstract
Introduction: Riedel thyroiditis is a form of thyroiditis characterised by inflammatory proliferative fibrotic process leading to destruction of thyroid gland and its capsule until reaching the surrounding tissue. 
Case Report: Herein, the placement of intratracheal stent along with surgical treatment is discussed in a patient of Riedel thyroiditis with pressure symptoms and nonresponsive to medical treatment.
Discussion: Patients usually present with hard enlarged mass in the neck and pressure symptoms. Surgical treatment may be required when tracheal and esophageal pressure symptoms occur. Since Riedel thyroiditis involves surrounding tissues as well, it prevents a thyroidectomy at surgical anatomic plane and increases the probability of injury to recurrent laryngeal nerve and parathyroid glands.
Conclusion: When pressure symptoms recur in patients with Riedel thyroidits, who were operated previously, the placement of intratracheal permanent stent should be kept in mind among treatment options. 
Keywords : Thyroiditis, Thyroidectomy, Parathyroid Glands, Stents, Trachea.
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