Rare complication after thyroidectomy-cervical esophageal stenosis: a case report and literature review

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• 作者：Hanwei Peng (1)
  Steven J Wang (2)
  Weixiong Li (3)
  
  1. Department of Head and Neck Surgery ; Cancer Hospital of Shantou University Medical College ; 7 Raoping Road ; Shantou City ; Guangdong Province ; 515031 ; China
  2. Department of Otolaryngology-Head and Neck Surgery ; University of California-San Francisco ; 2233 Post St ; 3rd Floor ; San Francisco ; CA ; 94115 ; USA
  3. Department of Head and Neck Surgery ; Chaozhou People鈥檚 Hospital ; Chaozhou City ; Guangdong Province ; 521011 ; China
  
• 关键词：Cervical esophageal perforation ; Cervical esophageal stenosis ; Reconstructive surgery ; Thyroid carcinoma ; Thyroidectomy ; Tubed forearm free flap
• 刊名：World Journal of Surgical Oncology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：2,102 KB
• 参考文献：1. Mullick, T, Falk, GW (2001) Esophageal strictures: etiology and diagnosis. Tech Gastrointest Endosc 3: pp. 128-134 CrossRef
  2. Siersema, PD (2008) Treatment options for esophageal strictures. Nat Clin Pract Gastroenterol Hepatol 5: pp. 142-152 CrossRef
  3. Rosato, L, Avenia, N, Bernante, P, De Palma, M, Gulino, G, Nasi, PG, Pelizzo, MR, Pezzullo, L (2004) Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg 28: pp. 271-276 CrossRef
  4. Bergenfelz, A, Jansson, S, Kristoffersson, A, M氓rtensson, H, Reihn茅r, E, Wallin, G, Lausen, I (2008) Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch Surg 393: pp. 667-673 CrossRef
  5. Ozer, MT, Demirbas, S, Harlak, A, Ersoz, N, Eryilmaz, M, Cetiner, S (2009) A rare complication after thyroidectomy: perforation of the oesophagus: a case report. Acta Chir Belg 109: pp. 527-530
  6. Satyadas, T, Nasir, N, Erel, E, Mudan, SS (2003) Iatrogenic tracheal rupture: a novel approach to repair and a review of the literature. J Trauma 54: pp. 369-371 CrossRef
  7. Conzo, G, Stanzione, F, Della Pietra, C, Palazzo, A, Candilio, G, Fiorelli, A, Santini, M (2012) Tracheal necrosis, oesophageal fistula: unusual complications of thyroidectomy. Report of two case and literature review. Ann Ital Chir 83: pp. 259-264
  8. Gosnell, JE, Campbell, P, Sidhu, S, Sywak, M, Reeve, TS, Delbridge, LW (2006) Inadvertent tracheal perforation during thyroidectomy. Br J Surg 93: pp. 55-56 CrossRef
  9. Damrose, EJ, Damrose, JF (2009) Delayed tracheal rupture following thyroidectomy. Auris Nasus Larynx 36: pp. 113-115 CrossRef
  10. To, EW, Tsang, WM, Williams, MD, Lai, EC, Chan, M (2002) Tracheal necrosis and surgical emphysema: a rare complication of thyroidectomy. Ear Nose Throat J 81: pp. 738-741
  11. Akbulut, G, Gunay, S, Aren, A, Bilge, O (2002) A rare complication after thyroidectomy: esophageal perforation. Ulus Travma Derg 8: pp. 250-252
  12. Loyo, M, Tufano, RP, Gourin, CG (2013) National trends in thyroid surgery and the effect of volume on short-term outcomes. Laryngoscope 123: pp. 2056-2063 CrossRef
  13. Gillenwater, AM, Goepfert, H (1999) Surgical management of laryngotracheal and esophageal involvement by locally advanced thyroid cancer. Semin Surg Oncol 16: pp. 19-29 CrossRef
  14. An, SY, Kim, KH (2010) Surgical management of locally advanced thyroid cancer. Curr Opin Otolaryngol Head Neck Surg 18: pp. 119-123 CrossRef
  15. Blount, KJ, Lambert, DL, Shaffer, HA, de Lange, EE (2010) Fluoroscopically guided balloon dilation of the esophagus. Semin Intervent Radiol 27: pp. 232-240 CrossRef
  16. Lee, SH (2001) The role of oesophageal stenting in the non-surgical management of oesophageal strictures. Br J Radiol 74: pp. 891-900 CrossRef
  17. Tuna, Y, Ko莽ak, E, Din莽er, D, K枚kl眉, S (2012) Factors affecting the success of endoscopic bougia dilatation of radiation-induced esophageal stricture. Dig Dis Sci 57: pp. 424-428 CrossRef
  18. Richmon, JD, Brumund, KT (2007) Reconstruction of the hypopharynx: current trends. Curr Opin Otolaryngol Head Neck Surg 15: pp. 208-212 CrossRef
  19. Zhao, D, Gao, X, Guan, L, Su, W, Gao, J, Liu, C, Luo, X, Li, X (2009) Free jejunal graft for reconstruction of defects in the hypopharynx and cervical esophagus following the cancer resections. J Gastrointest Surg 13: pp. 1368-1372 CrossRef
  
• 刊物主题：Surgical Oncology;
• 出版者：BioMed Central
• ISSN：1477-7819

文摘

The most common complications after thyroidectomy are injuries associated with the recurrent laryngeal nerve and parathyroid gland. Cervical esophagus perforation is an exceptionally rare complication after thyroidectomy; it can usually be resolved by conservative care. Cervical esophageal stenosis secondary to intraoperative esophageal injury during thyroidectomy is much rarer and has not been reported in the literature to date. We report a case of esophageal stenosis following thyroidectomy performed at a peripheral hospital. The patient initially underwent a thyroidectomy for papillary thyroid carcinoma involving the cervical esophagus; esophageal perforation was noted intraoperatively, and closed using three number 4 silk sutures. Cervical esophageal stenosis subsequently developed after conservative care. The patient was successfully treated with cervical esophagectomy and reconstruction using a tubed forearm free flap after a failed attempt at endoscopic recanalization. This case is discussed in conjunction with a review of the literature.