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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)