Anesthetic Complication Following Surgical Extirpation of a Cyst in the Thyroglossal Duct

Zmyslowski, Walter P.; Janfaza, Parviz

doi:10.1097/00000542-197709000-00017

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2021

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Cited by 3 publications

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“…However, our rationale for placing and securing a drain in this time period is not to prevent seroma, but rather, to avoid development of hematoma that could compromise the airway. 18 Maintenance of a drain for more than this interval would have necessitated discharging patients with a drain in place. This prospect is not attractive to parents and could have precipitated other complications secondary to trauma or infection, or both.…”

Section: Discussionmentioning

confidence: 99%

Complications Associated With the Sistrunk Procedure

2001

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Section: Discussionmentioning

confidence: 99%

Complications Associated With the Sistrunk Procedure

2001

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“…Major complications associated with the Sistrunk operation are not common; 3 however, there are reports of critical respiratory events associated with it. 4,5 In our case, a paediatric patient developed pneumomediastinum followed by bilateral pneumothoraces due to iatrogenic thyroid cartilage injury during excision of a thyroglossal duct cyst.…”

Section: Introductionmentioning

confidence: 70%

Iatrogenic pneumomediastinum followed by bilateral pneumothoraces: A case report

Dhakal

Subedi

2021

Anaesth Intensive Care

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Major respiratory catastrophe associated with iatrogenic airway injury during the Sistrunk operation is a rare event. A three-year-old patient underwent thyroglossal duct cyst removal under general anaesthesia. An iatrogenic thyroid cartilage injury occurred in the intraoperative period, and it was repaired primarily. Later, in the post-anaesthesia care unit, the patient developed subcutaneous emphysema in the neck and face, and then pneumomediastinum and bilateral pneumothoraces. The patient was managed with bilateral chest drains and endotracheal intubation, and he required mechanical ventilation for three days. So, even after repair of a recognised iatrogenic airway injury associated with the Sistrunk operation, it may be necessary to continue positive pressure ventilation in the postoperative period to avoid serious respiratory complications.

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