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Delayed Presentation of Tracheal Injury After Thyroidectomy—a Case Report

  • K. Devaraja
  • Rajeev Kumar
  • Prem Sagar
  • Rakesh Kumar
Case Report
  • 28 Downloads

Abstract

Complications of thyroidectomy are common and few of these could be life threatening. Although rare, the delayed tracheal rupture is one such complication and needs to be managed promptly. A male patient presented with neck swelling and on evaluation diagnosed to have papillary carcinoma thyroid T4a N1b M0. Patient underwent total thyroidectomy and neck dissection. On post-operative day 5, he developed subcutaneous emphysema. The subcutaneous emphysema was managed non-surgically with close observation and took 6 days to resolve completely. Management algorithm has been formulated after literature review. Delayed subcutaneous emphysema following thyroidectomy can be managed non-surgically in selected cases with mild emphysema and non-progressive course.

Keywords

Thyroidectomy Total thyroidectomy Tracheal rupture Subcutaneous emphysema Complications 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Copyright information

© Association of Surgeons of India 2018

Authors and Affiliations

  • K. Devaraja
    • 1
  • Rajeev Kumar
    • 2
  • Prem Sagar
    • 2
  • Rakesh Kumar
    • 2
    • 3
  1. 1.Department of Otorhinolaryngology and Head and Neck SurgeryKasturba Medical collegeManipalIndia
  2. 2.Department of Otorhinolaryngology and Head and Neck SurgeryAll India Institute of Medical SciencesNew DelhiIndia
  3. 3.Department of ENTAll India Institute of Medical SciencesNew DelhiIndia

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