Thyroid transection with spinal injury following blunt trauma in a child

Soft tissue hematoma of the neck due to thyroid rupture with unusual mechanism

“…The retropharyngeal prevertebral space is a crucial path from the neck to the mediastinum. Deep neck infections usually follow this pathway [7] , [8] , [9] , [10] , [11] , [12] .…”

Persistent dyspnea following thyroid hematoma after neck blunt trauma

“…Symptoms are similar to those experienced in laryngotracheal trauma, with palpable painful pretracheal or paratracheal neck mass. Other symptoms suggestive of a possible thyroid trauma include respiratory compromise [5,7,10], dysphagia [2,8,10] or hoarseness [1,2,5,10,12]. Because of the rarity, for thyroid blunt trauma, no consensus treatment has yet emerged.…”

Management of Thyroid Gland Hemorrhage After Blunt Trauma: A Case Report and Review of the Literature

“…Heizmann et al [9] proposed an algorithm for management of thyroid gland injury. Different treatments involve: conservative treatment with observation in an intensive care unit [2,5], surgical exploration [1,3,4,[8][9][10][11] with evacuation of the hematoma and/or resection of the thyroid in the presence of pathological tissue and aspiration of hematoma [6]. Patients with unstable vital signs always require prompt intubation and surgical intervention.…”

“…However, recognition of this condition is important because it may cause acute airway compromise by (partial) obstruction, requiring prompt airway intervention. Injury due to a direct blunt force [1][2][3][4][5], like collisions with a steering wheel, bicycle handles, a staircase and barbed wire have been described. Indirect trauma [6][7][8][9][10][11] caused by hyperflexion of the neck has also been reported.…”