Case Reports
Spirometric Evaluation of Respiratory Involvement in Asymptomatic Multinodular Goiter With an Intrathoracic Component
Antonio Ríos
, José Manuel Rodríguez, Pedro José Galindo, Pedro Antonio Cascales, María Balsalobre, Pascual Parrilla
Corresponding author
ARZRIOS@teleline.es
Correspondence: Dr A. Ríos. Avda. de la Libertad, 208 30007 Casillas, Murcia, Spain
Correspondence: Dr A. Ríos. Avda. de la Libertad, 208 30007 Casillas, Murcia, Spain
Servicio de Cirugía General y del Aparato Digestivo I, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain
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José" "apellidos" => "Galindo" ] 3 => array:2 [ "nombre" => "Pedro Antonio" "apellidos" => "Cascales" ] 4 => array:2 [ "nombre" => "María" "apellidos" => "Balsalobre" ] 5 => array:2 [ "nombre" => "Pascual" "apellidos" => "Parrilla" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía General y del Aparato Digestivo I, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr A. Ríos. Avda. de la Libertad, 208 30007 Casillas, Murcia, Spain" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-05-17" "fechaAceptado" => "2007-11-13" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec155406" "palabras" => array:5 [ 0 => "Multinodular goiter" 1 => "Asymptomatic" 2 => "Surgery" 3 => "Intrathoracic goiter" 4 => "Spirometry" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec155407" "palabras" => array:5 [ 0 => "Bocio multinodular" 1 => "Asintomático" 2 => "Cirugía" 3 => "Bocio intratorácico" 4 => "Espirometría" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Respiratory tract obstruction is underestimated in asymptomatic intrathoracic goiter. Our aim was to evaluate the involvement of the upper airway of asymptomatic patients with intrathoracic multinodular goiter, assessing the effect on respiratory function by means of spirometry. We selected 21 patients with asymptomatic intrathoracic goiter on whom a thyroidectomy had been performed. Spirometry was done in supine decubitus and in standing position before and 3 months after surgery. The preoperative study in decubitus showed mild obstruction in 4 cases (20%). In 2 of these cases this condition was also present in standing position (10%). Spirometry became normal after surgery in the 4 patients with obstruction.</p><p class="elsevierStyleSimplePara elsevierViewall">To conclude, spirometry in asymptomatic intrathoracic goiter shows mild obstruction of respiratory function in 10% to 20% of cases, depending on position. Surgery was associated with normalization of the abnormal parameters and an improvement in the remaining parameters. These data support the need to schedule surgery as soon as possible.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La obstrucción de la vía aérea se infravalora en el bocio intratorácico asintomático. Nuestro objetivo ha sido valorar mediante espirometría la afectación de la vía aérea superior y la repercusión en la función respiratoria de pacientes asintomáticos con bocio multinodular intratorácico. Para ello se seleccionó prospectivamente a 21 pacientes con bocio intratorácico asintomático a quienes se había practicado una tiroidectomía. Se realizó la espirometría en decúbito supino y en bipedestación antes y a los 3 meses de la cirugía. El estudio preoperatorio mostró en decúbito una afectación obstructiva leve en 4 casos (20%), en 2 de los cuales persistía en bipedestación (10%). Tras la cirugía se normalizó la alteración en los 4 casos.</p><p class="elsevierStyleSimplePara elsevierViewall">En conclusión, la espirometría en el bocio intratorácico asintomático muestra una afectación obstructiva leve de la función respiratoria en el 10–20% de los casos, en función de la postura. La cirugía se acompaña de la normalización de los parámetros alterados y de la mejoría del resto. Estos datos apoyan la necesidad de indicar la cirugía lo antes posible.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:14 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation and management of multinodular goiter" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "DL Hurley" 1 => "H Gharib" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Otolaryngol Clin North Am" "fecha" => "1996" "volumen" => "29" "paginaInicial" => "527" "paginaFinal" => "540" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8844728" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0210480611001562" "estado" => "S300" "issn" => "02104806" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" 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| 2020 November | 10 | 16 | 26 |
| 2020 October | 12 | 9 | 21 |
| 2020 September | 52 | 17 | 69 |
| 2020 August | 66 | 14 | 80 |
| 2020 July | 49 | 23 | 72 |
| 2020 June | 9 | 5 | 14 |
| 2020 May | 28 | 17 | 45 |
| 2020 April | 43 | 29 | 72 |
| 2020 March | 37 | 13 | 50 |
| 2020 February | 61 | 24 | 85 |
| 2020 January | 34 | 33 | 67 |
| 2019 December | 16 | 17 | 33 |
| 2019 November | 16 | 26 | 42 |
| 2019 October | 12 | 26 | 38 |
| 2019 September | 3 | 33 | 36 |
| 2019 August | 8 | 23 | 31 |
| 2019 July | 8 | 30 | 38 |
| 2019 June | 8 | 19 | 27 |
| 2019 May | 9 | 27 | 36 |
| 2019 April | 10 | 61 | 71 |
| 2019 March | 10 | 32 | 42 |
| 2019 February | 12 | 22 | 34 |
| 2019 January | 3 | 20 | 23 |
| 2018 December | 5 | 18 | 23 |
| 2018 November | 9 | 35 | 44 |
| 2018 October | 9 | 24 | 33 |
| 2018 September | 9 | 13 | 22 |
| 2018 May | 5 | 0 | 5 |
| 2018 April | 5 | 7 | 12 |
| 2018 March | 3 | 4 | 7 |
| 2018 February | 5 | 7 | 12 |
| 2018 January | 2 | 5 | 7 |
| 2017 December | 5 | 9 | 14 |
| 2017 November | 3 | 7 | 10 |
| 2017 October | 5 | 10 | 15 |
| 2017 September | 6 | 8 | 14 |
| 2017 August | 6 | 19 | 25 |
| 2017 July | 6 | 8 | 14 |
| 2017 June | 6 | 11 | 17 |
| 2017 May | 4 | 14 | 18 |
| 2017 April | 3 | 7 | 10 |
| 2017 March | 4 | 7 | 11 |
| 2017 February | 1 | 2 | 3 |
| 2017 January | 2 | 2 | 4 |
| 2016 December | 3 | 7 | 10 |
| 2016 November | 5 | 8 | 13 |
| 2016 October | 4 | 11 | 15 |
| 2016 September | 6 | 9 | 15 |
| 2016 August | 8 | 4 | 12 |
| 2016 July | 5 | 3 | 8 |
| 2016 March | 4 | 0 | 4 |
| 2015 December | 3 | 0 | 3 |
| 2015 October | 51 | 14 | 65 |
| 2015 September | 65 | 12 | 77 |
| 2015 August | 61 | 10 | 71 |
| 2015 July | 43 | 2 | 45 |
| 2015 June | 51 | 8 | 59 |
| 2015 May | 59 | 3 | 62 |
| 2015 April | 47 | 11 | 58 |
| 2015 March | 39 | 3 | 42 |
| 2015 February | 46 | 1 | 47 |
| 2015 January | 36 | 9 | 45 |
| 2014 December | 43 | 2 | 45 |
| 2014 November | 50 | 8 | 58 |
| 2014 October | 119 | 10 | 129 |
| 2014 September | 44 | 9 | 53 |
| 2014 August | 47 | 12 | 59 |
| 2014 July | 47 | 10 | 57 |
| 2014 June | 60 | 7 | 67 |
| 2014 May | 55 | 9 | 64 |
| 2014 April | 92 | 1 | 93 |
| 2014 March | 69 | 8 | 77 |
| 2014 February | 47 | 13 | 60 |
| 2014 January | 50 | 7 | 57 |
| 2013 December | 51 | 12 | 63 |
| 2013 November | 39 | 11 | 50 |
| 2013 October | 39 | 9 | 48 |
| 2013 September | 35 | 9 | 44 |
| 2013 August | 41 | 14 | 55 |
| 2013 July | 46 | 19 | 65 |
| 2013 June | 46 | 16 | 62 |
| 2013 May | 41 | 7 | 48 |
| 2013 April | 29 | 8 | 37 |
| 2013 March | 9 | 2 | 11 |
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