caa a22 4500 475802195 CHVBK 20180406123740.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s002680010279 doi (NATIONALLICENCE)springer-10.1007/s002680010279 Upper Airway Obstruction in Patients with Goiter Studied by Flow Volume Loops and Effect of Thyroidectomy [Elektronische Daten] [Tej Krishan Thusoo, Umesh Gupta, Kapil Kochhar, Harmanjit Singh Hira] The patient with goiter and his or her physician frequently overlook symptoms of upper respiratory obstruction. Conventional radiology is the accepted method for detecting upper airway obstruction in these patients. Flow volume loops provide additional information on airflow dynamics. Twenty-five patients of goiter undergoing surgery were evaluated for upper airway obstruction by symptomatology, conventional radiology, and flow volume loops. Flow volume loops were repeated 1 month after surgery. Ten (40%) patients had mild symptoms on direct questioning. Tracheal deviation, compression, or both were noted in eight (32%) patients on radiology. Flow volume loops detected upper airway obstruction in 15 (60%) patients. Surgery resulted in normalization of all preoperative abnormal curves. The flow volume loop is a simple noninvasive method for detecting upper airway obstruction in patients with goiter. Abnormal upper airway dynamics are present in more patients with goiter than previously recognized, and relief of this obstruction should be an important aspect of thyroid surgery. Société Internationale de Chirurgie, 2000 Krishan Thusoo Tej Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut Gupta Umesh Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut Kochhar Kapil Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut Singh Hira Harmanjit Department of Internal Medicine, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut World Journal of Surgery Springer-Verlag 24/12(2000-12-01), 1570-1572 0364-2313 24:12<1570 2000 24 268 https://doi.org/10.1007/s002680010279 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002680010279 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krishan Thusoo Tej Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut NATIONALLICENCE 700 1- Gupta Umesh Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut NATIONALLICENCE 700 1- Kochhar Kapil Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut NATIONALLICENCE 700 1- Singh Hira Harmanjit Department of Internal Medicine, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, Delhi 110 002, India, IN aut NATIONALLICENCE 773 0- World Journal of Surgery Springer-Verlag 24/12(2000-12-01), 1570-1572 0364-2313 24:12<1570 2000 24 268 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer