Tracheal rupture after vocal cord polyp resection: A case report
| Autor: | Xinqi Hu, Xiaofeng Chen, Xidong Cui, Yitan Cao, Guangbin Sun |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Rupture
Microsurgery Tracheal Diseases General Medicine Vocal Cords respiratory system Middle Aged Subcutaneous Emphysema Trachea Postoperative Complications laser microsurgery tracheal rupture Humans case report Female Clinical Case Report Tomography X-Ray Computed vocal cord polyp resection Mediastinal Emphysema Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Introduction: Transoral laser microsurgery (TLM) is one of the most common operations performed for glottic lesions. Several protection measures are taken to prevent tracheal damage. However, some protection measures and common postoperative complications may still cause delayed tracheal rupture in certain situations. Cases of tracheal rupture after surgery are extremely rare, and there are no previous reports of TLM of the glottis causing tracheal rupture. Patient concerns: A middle-aged woman who underwent TLM for bilateral vocal cord polyps developed sudden neck pain, followed by cough and subcutaneous emphysema. Diagnosis: She underwent head, neck, and chest computed tomography (CT), which revealed a 4-cm membranous tracheal tear located 4.5 cm distal to the glottis, pneumomediastinum, and subcutaneous emphysema extending from the base of skull to the chest. Interventions: The patient underwent an emergency surgical surgical chest exploration and tracheal repair. Outcomes: One month after the surgery, the patient fully recovered with no tracheal stenosis or respiratory dysfunction. Conclusions: Conventional protective measures and common postoperative complications of TLM may also cause tracheal rupture. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|