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Updated: Jun 21, 2025
05:10
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
943
Delayed cervical emphysema after thyroidectomy: a case report and a literature overview
Kjersti Mevik1, Gunnbjørg Tysvær1, Torill Solli1
1Surgery Department, Nordland Hospital, Parkveien 95, 8092 Bodø, Norway.
Journal of Surgical Case Reports
|July 15, 2024
Summary
Thyroidectomy patients may experience delayed cervical emphysema, a rare complication presenting as neck swelling up to 14 days post-surgery. Early evaluation and management are crucial for this potentially serious condition.
Area of Science:
- Endocrinology
- Surgical Oncology
- General Surgery
Background:
- Thyroidectomy is a common surgical procedure for benign and malignant thyroid diseases.
- Most post-thyroidectomy complications manifest within 24 hours, but delayed severe complications can occur.
Observation:
- A patient developed neck swelling 10 days after total thyroidectomy for Graves' disease.
- The swelling was diagnosed as cervical emphysema, indicating air in the neck tissues.
Findings:
- The cervical emphysema was successfully treated with a controlled negative pressure drain.
- An occult injury to the trachea is the presumed cause of this delayed complication.
Implications:
- Neck swelling after thyroidectomy warrants urgent evaluation due to the possibility of delayed complications like cervical emphysema.
- Surgeons must recognize and manage this rare but serious delayed complication, informing patients about potential risks.
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