Skip to main content

Table 1 Literature review and our case

From: What is the treatment of tracheal lesions associated with traditional thyroidectomy? Case report and systematic review

Author Article type No. of cases Reason of TT Age gender I setting Y/N II setting Y/N (day PO) Size/place trauma Necrosis/bacterial involvement Treatment Posttreatment follow-up
Gosnell [3] Retrospective 11,917 cases 7/11917 (0.06%) 4 multinodular goitre
1 Hurthle adenoma
1 Grave’s
1 Anaplastic tumour
na Yes No Pl No Primarily absorbable sutures with muscle strap in two patients 1 subcutaneous emphysema
1 bilateral pneumothorax
Iacconi [7] Letter to editor 7 Grave’s disease na Yes No na na na 2 died
1 respiratory distress
2 mediastinitis
Our case Case report 1 Grave’s disease 44 F Yes No Al No Primarily not absorbable sutures with muscle flap Tracheostomy in VI PO
Damrose [2] Case report 1 Grave’s disease 20 F No Yes (7 days PO) 1–2 mm/A/I ring No Primarily absorbable sutures No
Golger [5] Case report 1 Grave’s disease 30 F No Yes (8 days PO) A/II-III-IV rings Yes/Beta-haemolytic Streptococcus Montgomery T-tube with the trap muscles. T-tube removed 3 months after
Conzo [6] Case report and review 1 Bilateral adenoma 65 M No Yes (15 days PO) 1.5-mm/AL No Conservative treatment* No
Mazeh [8] Case report and review 1 Grave’s disease 17 F No Yes (9 days PO) 2.5-cm/A/II-III-IV rings No Conservative treatment* Primarily suture
Toe Ew [9] Case report 1 Papillary thyroid carcinoma 62 M No Yes (10 days PO) A No na na
Jacqmin [10] Case report 1 Grave’s disease 53 F No Yes (8 days PO) A/III ring Yes/Streptococcus mitis Circumferential tracheal excision with anastomosis No
Chauhan [11] Case report 1 Medullary carcinoma thyroid 65 M No Yes (7 days PO) 5 mm/A II ring Yes Debridement tracheostoma drain Chauhan [11]
Benjamin [12] Case report 1 Papillary thyroid carcinoma 55 M No Yes (4 days PO) na na Primarily absorbable sutures No
Bertolaccini [13] Case report 1 Papillary thyroid carcinoma 45 M No Yes (4 days PO) AL/IV ring Staphylococcus aureus Primarily absorbable sutures with muscle flap No
Sanna [4] Case report and review 1 Papillary thyroid carcinoma 17 F No Yes (7 days PO) 3 cm/AL/II–V rings No A muscular flap, rounded on the tracheal defect No
Rosato L [14] Case report 1 na na No Yes (10 days PO) na na Primarily sutures with patch of fibrinogen-thrombin collagen No
Escott [15] Case report 1 na 29 M No Yes (14 days PO) 2.5-mm PL na Conservative treatment* After 48 h with a myovascular transposition flap with Tisseel tissue-bonding agent.
Xinwei Han [16] Case report 1 Nodule 39 F no Yes (1 PO) na na Covered tracheal stent Abscess removed with drainage stent was removed 55 days after
  1. F female, M male, TT total thyroidectomy, L lymphadenectomy, PR primarily repair, MF muscolar flap, D drains, PO postoperative, I setting trachea may be perforated or lacerated intraoperatively, II setting unrecognised injury, or delayed rupture secondary to tracheal necrosis, can present up to 2 weeks postoperatively, PL posterolateral surface of trachea, AL anterolateral, A anterior, na not applicable
  2. *Conservative treatment (bed rest, antibiotic and cough suppressants)