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Tracheal rupture after vocal cord polyp resection: A case report
Xinqi Hu1, Xiaofeng Chen2, Xidong Cui1
1Department of Otorhinolaryngology - Head and Neck Surgery, Huashan Hospital of Fudan University, Shanghai, China.
Medicine
|December 17, 2021
Summary
Transoral laser microsurgery (TLM) for glottic lesions can rarely cause delayed tracheal rupture, even with protective measures. This case highlights the importance of vigilance for this rare complication following TLM.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Thoracic Surgery
Background:
- Transoral laser microsurgery (TLM) is a standard procedure for glottic lesions.
- Protective measures are employed to prevent tracheal damage during TLM.
- Delayed tracheal rupture is a rare but serious potential complication.
Observation:
- A patient undergoing TLM for vocal cord polyps presented with neck pain, cough, and subcutaneous emphysema.
- Computed tomography (CT) revealed a significant membranous tracheal tear, pneumomediastinum, and extensive subcutaneous emphysema.
Findings:
- The patient underwent emergency tracheal repair.
- Successful surgical intervention led to full recovery without stenosis or respiratory issues.
Implications:
- This case underscores that even with standard precautions, tracheal rupture can occur after TLM.
- Highlights the need for heightened awareness and prompt diagnosis of this rare complication.
- Suggests a potential link between common postoperative issues and delayed tracheal injury.
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