Tracheal necrosis with surgical emphysema following thyroidectomy | Zendy

Ashutosh Chauhan | Zendy; Manomoy Ganguly | Zendy; N Saidha | Zendy; P Gulia | Zendy

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Tracheal necrosis with surgical emphysema following thyroidectomy

Author(s) -

Ashutosh Chauhan,

Manomoy Ganguly,

N Saidha,

P Gulia

Publication year - 2009

Publication title -

journal of postgraduate medicine

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.405

H-Index - 52

eISSN - 0972-2823

pISSN - 0022-3859

DOI - 10.4103/0022-3859.57401

Subject(s) - medicine , thyroidectomy , surgery , complication , thorax (insect anatomy) , necrosis , thyroid , pathology , anatomy

Tracheal necrosis after thyroidectomy is an extremely rare event with only a few published reports. We present a case of a 65-year-old male who developed rapidly progressive surgical emphysema of face and upper thorax on the seventh day following total thyroidectomy. Prompt surgical exploration of neck revealed a tracheal rent at the level of the second tracheal ring. This hole was then refashioned into a formal tracheostomy. Patient had an eventful recovery. Tracheostomy was closed by the 14th day. The complication was probably related to tracheal injury sustained due to electro-coagulation and subsequent secondary infection.

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