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Case Report
Online Published: 05 Jun 2023
 


Delayed tracheal perforation post total thyroidectomy

Luis Mendes, Anila Rebecca, Eva Orosova, Cheryl Terrington, Gabriele Galata, Sancho Rodriguez-Villar.


Abstract
Delayed tracheal perforation is a rare occurrence post thyroidectomy. We present a 72 year-old female patient that underwent elective total thyroidectomy and right upper parathyroidectomy, with bilateral central lymph node dissection and modified radical neck dissection. The post-operative period was complicated by high-risk pre-morbid status and multiple failed extubations, in addition to ischaemic tracheal areas visualised on the bronchoscopy on post-operative day (POD) 8, with subsequent computerised tomography (CT) scan showing anterior neck collections and perforation. A tracheal perforation involving the anterolateral wall (2nd and 3rd rings) was repaired surgically, followed by a tracheostomy. Suspicion of tracheal injuries should always be considered if patient fail to liberate from the mechanical ventilation post-operatively, warranting prompt conservative and/or surgical management. Potential devascularisation, secondary to diathermy-induced injury and pressure exerted by endotracheal tube cuff onto already weakened/friable trachea, should be considered as probable aetiological factors.

Key words: Total thyroidectomy, Tracheal injury, Tracheal perforation, Tracheostomy


 
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How to Cite this Article
Pubmed Style

Mendes L, Rebecca A, Orosova E, Terrington C, Galata G, Rodriguez-Villar S, . Delayed tracheal perforation post total thyroidectomy. Int J Med Rev Case Rep. 2023; 7(7): 27-29. doi:10.5455/IJMRCR.172-1683327531

Web Style

Mendes L, Rebecca A, Orosova E, Terrington C, Galata G, Rodriguez-Villar S, . Delayed tracheal perforation post total thyroidectomy. https://www.mdpub.net/?mno=152274 [Access: October 13, 2024]. doi:10.5455/IJMRCR.172-1683327531

AMA (American Medical Association) Style

Mendes L, Rebecca A, Orosova E, Terrington C, Galata G, Rodriguez-Villar S, . Delayed tracheal perforation post total thyroidectomy. Int J Med Rev Case Rep. 2023; 7(7): 27-29. doi:10.5455/IJMRCR.172-1683327531


Vancouver/ICMJE Style

Mendes L, Rebecca A, Orosova E, Terrington C, Galata G, Rodriguez-Villar S, . Delayed tracheal perforation post total thyroidectomy. Int J Med Rev Case Rep. (2023), [cited October 13, 2024]; 7(7): 27-29. doi:10.5455/IJMRCR.172-1683327531


Harvard Style

Mendes, L., Rebecca, A., Orosova, E., Terrington, C., Galata, G., Rodriguez-Villar, S. & (2023) Delayed tracheal perforation post total thyroidectomy. Int J Med Rev Case Rep, 7 (7), 27-29. doi:10.5455/IJMRCR.172-1683327531


Turabian Style

Mendes, Luis, Anila Rebecca, Eva Orosova, Cheryl Terrington, Gabriele Galata, Sancho Rodriguez-Villar, and . 2023. Delayed tracheal perforation post total thyroidectomy. International Journal of Medical Reviews and Case Reports, 7 (7), 27-29. doi:10.5455/IJMRCR.172-1683327531


Chicago Style

Mendes, Luis, Anila Rebecca, Eva Orosova, Cheryl Terrington, Gabriele Galata, Sancho Rodriguez-Villar, and . "Delayed tracheal perforation post total thyroidectomy." International Journal of Medical Reviews and Case Reports 7 (2023), 27-29. doi:10.5455/IJMRCR.172-1683327531


MLA (The Modern Language Association) Style

Mendes, Luis, Anila Rebecca, Eva Orosova, Cheryl Terrington, Gabriele Galata, Sancho Rodriguez-Villar, and . "Delayed tracheal perforation post total thyroidectomy." International Journal of Medical Reviews and Case Reports 7.7 (2023), 27-29. Print. doi:10.5455/IJMRCR.172-1683327531


APA (American Psychological Association) Style

Mendes, L., Rebecca, A., Orosova, E., Terrington, C., Galata, G., Rodriguez-Villar, S. & (2023) Delayed tracheal perforation post total thyroidectomy. International Journal of Medical Reviews and Case Reports, 7 (7), 27-29. doi:10.5455/IJMRCR.172-1683327531


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