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
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• 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.