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<p>A 51-year-old woman developed extensive subcutaneous emphysema on postoperative day 7 following total thyroidectomy with central lymph node dissection for thyroid cancer, indicating delayed tracheal injury. Emergency surgery revealed rupture of inter-tracheal ring ligaments and connective tissue, resulting in a necrotic 3 × 2&#xa0;cm wound with purulent exudate. Necrotic tissue was debrided until viable bleeding margins were achieved. Infection was controlled using vacuum sealing drainage (VSD) with continuous negative-pressure drainage and anti-infective therapy. The tracheostomy tube was subsequently inserted, replaced, and eventually removed without incident, and the patient recovered fully before discharge. This rare complication highlights impaired tracheal blood supply as a key etiology for necrosis. Timely diagnosis and staged surgical intervention are critical for managing post-thyroidectomy tracheal injuries.</p>

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Delayed tracheal injury following total thyroidectomy: case report and literature review

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月18日

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  • Qiang Gao,
  • Yukun Wei,
  • Xiaorui Fan,
  • Wenjian Xu,
  • Pengfei Gu,
  • Song Liu,
  • Yong Han

摘要

A 51-year-old woman developed extensive subcutaneous emphysema on postoperative day 7 following total thyroidectomy with central lymph node dissection for thyroid cancer, indicating delayed tracheal injury. Emergency surgery revealed rupture of inter-tracheal ring ligaments and connective tissue, resulting in a necrotic 3 × 2 cm wound with purulent exudate. Necrotic tissue was debrided until viable bleeding margins were achieved. Infection was controlled using vacuum sealing drainage (VSD) with continuous negative-pressure drainage and anti-infective therapy. The tracheostomy tube was subsequently inserted, replaced, and eventually removed without incident, and the patient recovered fully before discharge. This rare complication highlights impaired tracheal blood supply as a key etiology for necrosis. Timely diagnosis and staged surgical intervention are critical for managing post-thyroidectomy tracheal injuries.