갑상선절제술 후 발생한 기관 천공과 종격동기종 1예
A Case of Tracheal Perforation and Pneumomediastinum after Thyroidectomy
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Tracheal injury is a rare complication of thyroid surgery, with a reported incidence of 0.06%. Subcutaneous emphysema or pneumomediastinum may occur due to tracheal perforation, which is manifested by symptoms such as intense cough, neck and facial swelling, dyspnea, hemoptysis, and retrosternal pain. So far, there have been no domestic reports of cervical subcutaneous emphysema or pneumomediastinum caused by tracheal perforation during thyroid surgery. We would like to report a case of a 44-year-old female who experienced complete recovery only with conservative treatments after cervical and mediastinal emphysema due to tracheal perforation during thyroid surgery.
Abstract
Tracheal injury is a rare complication of thyroid surgery, with a reported incidence of 0.06%. Subcutaneous emphysema or pneumomediastinum may occur due to tracheal perforation, which is manifested by symptoms such as intense cough, neck and facial swelling, dyspnea, hemoptysis, and retrosternal pain. So far, there have been no domestic reports of cervical subcutaneous emphysema or pneumomediastinum caused by tracheal perforation during thyroid surgery. We would like to report a case of a 44-year-old female who experienced complete recovery only with conservative treatments after cervical and mediastinal emphysema due to tracheal perforation during thyroid surgery.
참고문헌 (20)
- Grogan RH, "A population-based prospective cohort study of complications after thyroidectomy in the elderly", J Clin Endocrinol Metab, 97(5), pp.1645~1653 (2012)
- Caulley L, "Risk factors for postoperative complications in total thyroidectomy:a retrospective, risk-adjusted analysis from the National Surgical Quality Improvement Program", Medicine, 96(5), pp.e5752~ (2017)
- Koimtzis GD, "What are the real rates of temporary hypoparathyroidism following thyroidectomy? It is a matter of definition : a systematic review", Endocrine, 73(1), pp.1~7 (2021)
- Rosato L, "Complications of thyroid surgery : analysis of a multicentric study on 14, 934 patients operated on in Italy over 5 years", World J Surg, 28(3), pp.271~276 (2004)
- Staubitz JI, "Effect of intraoperative nerve monitoring on postoperative vocal cord palsy rates after thyroidectomy: European multicentre registry-based study", BJS Open, 4(5), pp.821~829 (2020)
- Fassas S, "Postoperative complications after thyroidectomy : time course and incidence before discharge", J Surg Res, 260, pp.210~219 (2021)
- Promberger R, "Risk factors for postoperative bleeding after thyroid surgery", Br J Surg, 99(3), pp.373~379 (2012)
- Ji YB, "Neural monitoring of the external branch of the superior laryngeal nerve during transoral thyroidectomy", Laryngoscope, 131(2), pp.E671~6 (2021)
- Gosnell JE, "Inadvertent tracheal perforation during thyroidectomy", Br J Surg, 93(1), pp.55~56 (2006)
- Tartaglia N, "What is the treatment of tracheal lesions associated with traditional thyroidectomy? Case report and systematic review", World J Emerg Surg, 13, pp.15~ (2018)
- Shew M, "Delayed multifocal tracheal injury following thyroidectomy: a case report and review of the literature", Cureus, 12(5), pp.e8164~ (2020)
- Iacconi P, "Inadvertent tracheal perforation during thyroidectomy", Br J Surg, 93(6), pp.770~771 (2006)
- Damrose EJ, "Delayed tracheal rupture following thyroidectomy", Auris Nasus Larynx, 36(1), pp.113~115 (2009)
- Golger A, "Tracheal necrosis after thyroidectomy", Can J Surg, 45(6), pp.463~464 (2002)
- Mazeh H, "Late manifestation of tracheal rupture after thyroidectomy : case report and literature review", Endocr Pract, 18(4), pp.e73~6 (2012)
- Kaloud H, "Iatrogenic ruptures of the tracheobronchial tree", Chest, 112(3), pp.774~778 (1997)
- Kuhne CA, "Nonoperative management of tracheobronchial injuries in severely injured patients", Surg Today, 35(7), pp.518~523 (2005)
- Koullias GJ, "Current assessment and management of spontaneous pneumomediastinum : experience in 24 adult patients", Eur J Cardiothoracic Surg, 25(5), pp.852~855 (2004)
- Kouritas VK, "Pneumomediastinum", J Thorac Dis, 7(Suppl 1), pp.S44~49 (2015)
- 최원일, "Pneumothorax", Tuberculosis and Respiratory Diseases, 76(3), pp.99~104 (2014), 대한결핵및호흡기학회