Delayed tracheal perforation post total thyroidectomy

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

doi:10.5455/IJMRCR.172-1683327531

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Case Report

Int J Med Rev Case Rep. 2023; 7(Reports in Surgery, Orthopaedics, Pathology, and Urology):

doi: 10.5455/IJMRCR.172-1683327531

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. Online First: 05 Jun, 2023. 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: December 06, 2023]. 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. Online First: 05 Jun, 2023. 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, [cited December 06, 2023]; Online First: 05 Jun, 2023. 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, Online First: 05 Jun, 2023. 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, Online First: 05 Jun, 2023. 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 Online First: 05 Jun, 2023. doi:10.5455/IJMRCR.172-1683327531

MLA (The Modern Language Association) Style

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, Online First: 05 Jun, 2023. doi:10.5455/IJMRCR.172-1683327531

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