• Auris, nasus, larynx · Feb 2009

    Case Reports

    Delayed tracheal rupture following thyroidectomy.

    • Edward J Damrose and John F Damrose.
    • Department of Otolaryngology/Head & Neck Surgery, Stanford University Medical Center, 801 Welch Road, Stanford, CA 94305, USA. edamrose@ohns.stanford.edu
    • Auris Nasus Larynx. 2009 Feb 1; 36 (1): 113-5.

    AbstractThyroidectomy is a commonly performed, low-risk procedure. Tracheal perforation during thyroidectomy is rare, and delayed rupture of the trachea rarer still. We present the case of a patient who underwent total thyroidectomy secondary to Grave's disease who, on postoperative day 7, developed massive subcutaneous emphysema and respiratory distress. Surgical exploration revealed a rupture of the anterolateral tracheal wall at the level of the first tracheal ring. The defect was repaired primarily and the patient recovered uneventfully. The risk factors for and the management of this rare complication are discussed.

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