Tracheal invasion by Thyroid nodule in Thyroidectomy
59th Medical Wing San Antonio United States
Pagination or Media Count:
46yo female ASA 2 presented for total thyroidectomy and neck dissection secondary to papillary thyroid carcinoma. After uneventful induction and intubation, surgical dissection revealed invasion of a thyroid nodule into the anterior branch of the recurrent laryngeal nerve as well as invasion through the first tracheal ring. The tracheal defect was fixed with a strap muscle flap and surgery concluded uneventfully. Following deep extubation, an air leak at the surgical site was noted. The patient was reintubated, the incision was re-opened and the tracheal flap was revised to prevent tracheal leaking.
- Medicine and Medical Research