Cervical Pneumatocele as Delayed Manifestation of Tracheal Injury after Thyroidectomy: Case Series and Literature Review

Leong Jia Ern; Kok Wai Leong; Tan Yee Ling; Mann Balwinder Singh; Mahamad Sadhana

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저자정보: Leong Jia Ern (Breast and Endocrine Surgery Unit Department of Surgery Hospital Putrajaya Putrajaya Malaysia.Depar) Kok Wai Leong (Department of Otorhinolaryngology Hospital Putrajaya Putrajaya Malaysia.) Tan Yee Ling (Breast and Endocrine Surgery Unit Department of Surgery Hospital Putrajaya Putrajaya Malaysia.) Mann Balwinder Singh (Department of Otorhinolaryngology Hospital Putrajaya Putrajaya Malaysia.) Mahamad Sadhana (Breast and Endocrine Surgery Unit Department of Surgery Hospital Putrajaya Putrajaya Malaysia.)

저널정보: 대한갑상선-내분비외과학회 The Journal of Endocrine Surgery The Journal of Endocrine Surgery 제21권 제1호

발행연도: 2021.1

수록면: 1 - 12 (12page)

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Delayed manifestation of surgical emphysema as cervical pneumatocele post thyroid surgery is rare and unexpected that which needs to be managed appropriately. Herein we report three cases of delayed tracheal injury presenting with persistent subcutaneous emphysema, without acute respiratory distress. All three cases were managed surgically. Possible risk factors were discussed alongside hypotheses on the mechanisms of delayed tracheal injury and recommendations to prevent such complications. The management algorithm was summarized after the literature review. While surgical management is definitive, the non-surgical approach can also be a reasonable option, but requires a longer hospital stay.

#Thyroidectomy #Complications #Subcutaneous emphysema #Tracheal injury

참고문헌 (22)

참고문헌 신청

Bergamaschi R / 1998 / Morbidity of thyroid surgery / Am J Surg 176:71~75

Rafferty MA / 2007 / Completion thyroidectomy versus total thyroidectomy : is there a difference in complication rates? An analysis of 350 patients / J Am Coll Surg 205:602~607

Bhattacharyya N / 2002 / Assessment of the morbidity and complications of total thyroidectomy / Arch Otolaryngol Head Neck Surg 128:389~392

Gosnell JE / 2006 / Inadvertent tracheal perforation during thyroidectomy / Br J Surg 93:55~56

Shew M / 2020 / Delayed multifocal tracheal injury following thyroidectomy: a case report and review of the literature / Cureus 12:e8164

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Leong Jia Ern

소속기관 Breast and Endocrine Surgery Unit Department of Surgery Hospital Putrajaya Putrajaya Malaysia.Depar