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Updated: Jul 8, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Thyroid storm induced by blunt thyroid gland trauma.

Stylianos Delikoukos¹, Fotios Mantzos

¹Department of Surgery, Halkis General Hospital, Halkis, Greece. morfula@otenet.gr

The American Surgeon

|January 12, 2008

Summary

Blunt neck trauma can cause isolated thyroid gland injury, leading to severe bleeding and airway issues. This rare injury may trigger thyroid storm even in individuals without prior hyperthyroidism.

Area of Science:

Endocrinology
Trauma Surgery
Emergency Medicine

Background:

Isolated thyroid gland injury from blunt neck trauma is rare.
Thyroid storm is an uncommon complication, especially in patients without pre-existing hyperthyroidism.

Observation:

Four cases of isolated thyroid gland injury were identified among 231 neck trauma patients.
Two patients presented with simultaneous thyrotoxic crisis, confirmed by clinical and laboratory findings.
Massive gland hemorrhage and acute airway obstruction were noted in these cases.

Findings:

Blunt thyroid gland injury can lead to thyroid storm due to acinar rupture and hormone release.
Thyroid storm may occur in patients with no prior history of hyperthyroidism.
Surgical intervention (lobectomy, thyroidectomy) combined with medical management led to recovery.

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Last Updated: Jul 8, 2026

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach

Published on: September 15, 2023

Implications:

Clinicians should consider thyroid storm in blunt neck trauma patients with suspected thyroid injury, regardless of prior thyroid status.
Prompt diagnosis and management are crucial for potentially life-threatening outcomes.
This highlights the importance of thorough evaluation of the thyroid gland in blunt neck trauma.