Delayed tracheal rupture following thyroidectomy

被引：23
作者：
Damrose, Edward J. [1 ]
Damrose, John F. [2 ]
机构：
[1] Stanford Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Stanford, CA 94305 USA
[2] Kaiser Permanente Med Grp Inc, Dept Otolaryngol, Fresno, CA USA
来源：
AURIS NASUS LARYNX | 2009年 / 36卷 / 01期
关键词：
Thyroidectomy; Complications; Trachea; Tracheal rupture; Perforation; Tracheal necrosis; Subcutaneous emphysema; BLOOD-FLOW; PERFORATION;
D O I：
10.1016/j.anl.2008.03.007
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Thyroidectomy is a commonly performed, low-risk procedure. Tracheal perforation during thyroidectomy is rare, and delayed rupture of the trachea rarer still. We present the case of a patient who underwent total thyroidectomy secondary to Grave's disease who, on postoperative day 7, developed massive subcutaneous emphysema and respiratory distress. Surgical exploration revealed a rupture of the anterolateral tracheal wall at the level of the first tracheal ring. The defect was repaired primarily and the patient recovered uneventfully. The risk factors for and the management of this rare complication are discussed. (C) 2008 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码：113 / 115
页数：3
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