• Thomas von Ahnen, Martin von Ahnen, Ulrich Wirth, Sven Zhorzel, Eveliina Kober, Christopher Habbel, Hans Martin Schardey, and Stefan Schopf.
• Abteilung für Visceral- und Gefäßchirurgie, Krankenhaus Agatharied, 83734, Hausham, Deutschland, vonahnen2002@yahoo.de.
• Wien Med Wochenschr. 2014 Jun 1; 164 (11-12): 239-44.

BackgroundTraumatic rupture of the thyroid gland is rare. A common approach does not exist. Surgical and nonsurgical management have been advocated.MethodThis work summarizes the publications in PubMed including an own case. This study will analyse the accident mechanism, the underlying thyroid pathologies, possible pathogenetic mechanisms of airway obstruction and the therapeutic options. A present classification is revised in order to develop it into a treatment proposal.ResultsA total of 34 case reports were analysed. The first half had to be performed a surgery on, the other half was observed without surgical treatment. None of the patients died of his injury. 59% of the patients, that had to be performed a surgery on had thyroid pathology before rupture. 50% of all patients had a road accident as a cause for the rupture.ConclusionThe revised classification and treatment proposal developed here presents a clinically-viable approach.

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