Journal Basic Info

  • Impact Factor: 1.809**
  • H-Index: 6
  • ISSN: 2474-1655
  • DOI: 10.25107/2474-1655
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Nephrology
  •  Lung Cancer
  •  Psychiatry and Mental Health
  •  Infectious Disease
  •  Breast Neoplasms
  •  Oncology Cases
  •  Sleep Medicine and Disorders
  •  Nutrition and Food Science

Abstract

Citation: Ann Clin Case Rep. 2017;2(1):1355.DOI: 10.25107/2474-1655.1355

Delayed Tracheal Perforation after Hemithyroidectomy

Melina Benson, Vaninder Dhillon and Ralph Tufano

Department of Otolaryngology and Head and Neck Surgery, The Johns Hopkins University, Maryland, USA

*Correspondance to: Ralph Tufano 

 PDF  Full Text Case Report | Open Access

Abstract:

Background: Hemithyroidectomy is a low-risk, outpatient procedure commonly performed for benign and some small, differentiated thyroid malignancies. Delayed tracheal perforation is exceedingly rare and has previously only been reported after total thyroidectomy.Case Report: We describe a 25-year-old patient who underwent an unremarkable right hemithyroidectomy to remove a 4 centimeter FNAB cytologically indeterminate thyroid nodule, who presented four weeks later with acute anterior neck swelling and subcutaneous emphysema after strenuous exercise. Computed tomography showed pockets of air tracking along a right lateral tracheal wall irregularity on the operative side. Flexible tracheobronchoscopy identified a pinholesized defect. A bedside neck evacuation of the air was performed with drain placement. The patient was restricted to limited activity for 4 weeks.Results: The patient recovered uneventfully.Conclusion: Surgeons who perform thyroid surgery must be aware of the possibility of delayed tracheal perforation after hemithyroidectomy. Conservative management may be appropriate for the stable patient.

Keywords:

Endocrine; Thyroid cancer; Hemithyroidectomy; Late complication; Tracheal injury

Cite the Article:

Benson M, Dhillon V, Tufano R. Delayed Tracheal Perforation after Hemithyroidectomy. Ann Clin Case Rep. 2017; 2: 1355.

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