Cervical Pneumatocele as Delayed Manifestation of Tracheal Injury after Thyroidectomy: Case Series and Literature Review
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
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.
Abstract
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.
참고문헌 (22)
- Bergamaschi R, "Morbidity of thyroid surgery", Am J Surg, 176, pp.71~75 (1998)
- Rafferty MA, "Completion thyroidectomy versus total thyroidectomy : is there a difference in complication rates? An analysis of 350 patients", J Am Coll Surg, 205, pp.602~607 (2007)
- Bhattacharyya N, "Assessment of the morbidity and complications of total thyroidectomy", Arch Otolaryngol Head Neck Surg, 128, pp.389~392 (2002)
- Gosnell JE, "Inadvertent tracheal perforation during thyroidectomy", Br J Surg, 93, pp.55~56 (2006)
- Shew M, "Delayed multifocal tracheal injury following thyroidectomy: a case report and review of the literature", Cureus, 12, pp.e8164~ (2020)
- 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)
- Golger A, "Tracheal necrosis after thyroidectomy", Can J Surg, 45, pp.463~464 (2002)
- Mazeh H, "Late manifestation of tracheal rupture after thyroidectomy : case report and literature review", Endocr Pract, 18, pp.e73~e76 (2012)
- Sanna S, "It could suddenly happen : delayed rupture of the trachea after total thyroidectomy. A case report", G Chir, 35, pp.65~68 (2014)
- Escott AB, "Repair of a posterior perforation of the trachea following thyroidectomy with a muscle transposition flap", Ear Nose Throat J, 95, pp.E14~E17 (2016)
- Materazzi G, "Conservative management of a tracheal leakage occurring 40 days after robotic thyroidectomy", Otolaryngol Head Neck Surg, 149, pp.793~794 (2013)
- Damrose EJ, "Delayed tracheal rupture following thyroidectomy", Auris Nasus Larynx, 36, pp.113~115 (2009)
- Conzo G, "Tracheal necrosis, oesophageal fistula: unusual complications of thyroidectomy. Report of two case and literature review", Ann Ital Chir, 83, pp.259~264 (2012)
- Bertolaccini L, "It sometimes happens : late tracheal rupture after total thyroidectomy", Interact Cardiovasc Thorac Surg, 14, pp.500~501 (2012)
- Liu DS, "Cervical pneumatocoele following total thyroidectomy", Ann R Coll Surg Engl, 94, pp.e74~e75 (2012)
- Drevet G, "Surgical anatomy of the tracheobronchial tree", J Thorac Dis, 8, pp.121~129 (2016)
- Lewis RN, "Hazards of endotracheal anaesthesia", Br J Anaesth, 36, pp.504~515 (1964)
- Kuhne CA, "Nonoperative management of tracheobronchial injuries in severely injured patients", Surg Today, 35, pp.518~523 (2005)
- Devaraja K, "Delayed presentation of tracheal injury after thyroidectomy—a case report", Indian J Surg, 80, pp.530~532 (2018)
- Zhao Z, "Update on the diagnosis and treatment of tracheal and bronchial injury", J Thorac Dis, 9, pp.E50~E56 (2017)
- Philippe G, "Successful treatment of anterior tracheal necrosis after total thyroidectomy using vacuum-assisted closure therapy", Crit Care Res Pract, 2012, pp.252719~ (2012)
- Jacqmin S, "Postoperative necrosis of the anterior part of the cervical trachea following thyroidectomy", J Anesth, 19, pp.347~348 (2005)
