Journal
JOURNAL OF POSTGRADUATE MEDICINE
Volume 55, Issue 3, Pages 193-195Publisher
WOLTERS KLUWER MEDKNOW PUBLICATIONS
DOI: 10.4103/0022-3859.57401
Keywords
Surgical emphysema; thyroidectomy; tracheal necrosis
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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 14(th) day. The complication was probably related to tracheal injury sustained due to electro-coagulation and subsequent secondary infection.
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