Vol. 9, Issue 3, Part A (2025)

A goiter is an abnormal enlargement of the thyroid gland, located in the anterior midline part of neck. Toxic multinodular goiter (TMNG) usually occurs in older individuals, who often have a lengthy history of nontoxic multinodular goiter when it is accompanied by obstructive symptoms like dyspnoea and dysphagia carries the need for surgical intervention.
Discussion: Toxic large MNG is most effectively treated by total thyroidectomy, which achieves complete diminution from toxic and compressive symptoms.
Conclusion: Surgery for huge goiter is challenging and one should be careful about difficult intubation, altered anatomy and adhesions to the surrounding structures. Recognizing and treating this kind of cases are important, as they constitute a preventable cause of mortality and morbidity if timely diagnosed and treated.