Novel treatment of tracheal fistula after thyroidectomy using compressive taping: report of two cases
Taís Vasconcelos Cidrão, Claudia Belém Moura Cabral, Valdenor Neves Feitosa Junior
Abstract
Tracheal injury during thyroidectomy is a rare complication, with various techniques available to approach fistula treatment. This report describes two cases of tracheal fistula treated with compressive taping. Both patients presented with subcutaneous emphysema and associated dysphonia post-surgery. Considering the small extent of the lesions, a conservative treatment approach was chosen. Compressive taping proved to be an effective method for treating tracheal fistula, yielding satisfactory outcomes that were comparable to those of other treatments described in the literature. This method not only serves as an adequate treatment but is also presented with a standardized methodology. Moreover, it demonstrated benefits in reducing edema and ecchymosis, producing optimal lesion healing.
Keywords
References
1. Araújo VJF FO, Machado MTAS, Sondermann A, Carlucci DD Jr, Moysés RA, Ferraz AR. Hypocalcemia and clinical hypoparathyroidism after total thyroidectomy. Rev Col Bras Cir. 2004;31(4):233-5. http://dx.doi.org/10.1590/S0100-69912004000400004.
2. Anuwong A. Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg. 2016;40(3):491-7. http://dx.doi. org/10.1007/s00268-015-3320-1. PMid:26546193.
3. Tartaglia N, Iadarola R, Di Lascia A, Cianci P, Fersini A, Ambrosi A. What is the treatment of tracheal lesions associated with traditional thyroidectomy? Case report and systematic review. World J Emerg Surg. 2018;13(1):15. http://dx.doi. org/10.1186/s13017-018-0175-4. PMid:29588652.
4. Damrose EJ, Damrose JF. Delayed tracheal rupture following thyroidectomy. Auris Nasus Larynx. 2009;36(1):113-5. http://dx.doi.org/10.1016/j.anl.2008.03.007. PMid:18487029.
5. O’Reilly S, Crofton E, Brown J, Strong J, Ziviani J. Use of tape for the management of hypertrophic scar development: a comprehensive review. Scars Burn Heal. 2021;7:205951312110292. http://dx.doi.org/10.1177/20595131211029206. PMid:34290886.
Submitted date:
04/13/2023
Accepted date:
10/10/2023
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email