A case report of severe tracheal stenosis with a giant thyroid tumor

The 77-year-old female with a giant thyroid tumor was planned to undergo decompression thyroidectomy and sternal tracheostomy prior to radiation therapy. As it was thought to be hard to ensure holding the airway with oro-tracheal intubation or cervical tracheostomy because of the location and the size of the tumor, so cardiopulmonary bypass circuit (CPB) was prepared for the surgery. The special reinforced tube was consequently intubated oro-tracheally, and the patient was managed to be ventilated and underwent the operation safely without CPB.