Anesthetic management of completion thyroidectomy with sternal resection and reconstruction in a patient with difficult airway with C3 vertebrae body fracture

Abstract

We present a case of a 53-year-old female with a history of right hemi thyroidectomy 12 years ago, diagnosed with metastatic thyroid carcinoma involving the sternum and C3 vertebrae. The patient underwent a completion thyroidectomy, sternal resection, and sternal reconstruction. The anticipated difficult airway due to the sternum mass and C3 vertebral fracture necessitated meticulous planning. An epidural catheter was placed at the T6-T7 level for pain management. Preoperative medications included Fentanyl, Propofol, and Rocuronium. Fiber optic-guided intubation was performed in a neck-neutral position. The patient was successfully intubated without complications.