Patterns of Post-thyroidectomy Hemorrhage
ObjectivesPostoperative hemorrhage is a potentially life-threatening complication in thyroid surgery. This study was performed to review the clinical patterns of post-thyroidectomy hemorrhage, and especially as they are related to the source of bleeding.MethodsWe performed a retrospective review of...
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| Format: | Article |
| Language: | English |
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Korean Society of Otorhinolaryngology-Head and Neck Surgery
2009-06-01
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| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-2-72.pdf |
| _version_ | 1818684373111668736 |
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| author | Hyoung Shin Lee Bong Ju Lee Sung Won Kim Young Woo Cha Young Sik Choi Yo Han Park Kang Dae Lee |
| author_facet | Hyoung Shin Lee Bong Ju Lee Sung Won Kim Young Woo Cha Young Sik Choi Yo Han Park Kang Dae Lee |
| author_sort | Hyoung Shin Lee |
| collection | DOAJ |
| description | ObjectivesPostoperative hemorrhage is a potentially life-threatening complication in thyroid surgery. This study was performed to review the clinical patterns of post-thyroidectomy hemorrhage, and especially as they are related to the source of bleeding.MethodsWe performed a retrospective review of 10 patients (0.96%) with post-thyroidectomy hemorrhage that required surgical evacuation. The clinical patterns such as the time interval from surgery to hemorrhage and the signs and symptoms according to the bleeding focus were evaluated.ResultsThe mean time interval from surgery to symptom onset was 7 hr 52 min. Six cases showed bleeding deep to the strap muscles, while the other 4 cases showed bleeding superficial to the muscles. Ecchymosis was prominent and dark in color in 3 of the 4 cases (75%) of superficial bleeding, however it was identified in only 2 of the 6 cases (33%) of deep bleeding. Respiratory distress occurred in two cases of hematoma deep to the strap muscles, but in none of the cases with superficial bleeding.ConclusionThe post-thyroidectomy hemorrhage had some different clinical patterns between the superficial cases and the deep cases, showing that life-threatening airway obstruction occurred from the deep hematoma. A thorough understanding of the clinical patterns of post-thyroidectomy hemorrhage between the cases of superficial and those cases of deep hematoma may provide valuable surgical tips to manage this potentially lethal complication. |
| first_indexed | 2024-12-17T10:49:36Z |
| format | Article |
| id | doaj.art-c5c490885dad4bcb9b6ce981426dca7b |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-12-17T10:49:36Z |
| publishDate | 2009-06-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-c5c490885dad4bcb9b6ce981426dca7b2022-12-21T21:52:01ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202009-06-0122727710.3342/ceo.2009.2.2.7277Patterns of Post-thyroidectomy HemorrhageHyoung Shin Lee0Bong Ju Lee1Sung Won Kim2Young Woo Cha3Young Sik Choi4Yo Han Park5Kang Dae Lee6Department of Otolaryngology-Head and Neck Surgery, Nam-hae Hospital, Namhae, Korea.Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.Department of Endocrinology, Kosin University College of Medicine, Busan, Korea.Department of Endocrinology, Kosin University College of Medicine, Busan, Korea.Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.ObjectivesPostoperative hemorrhage is a potentially life-threatening complication in thyroid surgery. This study was performed to review the clinical patterns of post-thyroidectomy hemorrhage, and especially as they are related to the source of bleeding.MethodsWe performed a retrospective review of 10 patients (0.96%) with post-thyroidectomy hemorrhage that required surgical evacuation. The clinical patterns such as the time interval from surgery to hemorrhage and the signs and symptoms according to the bleeding focus were evaluated.ResultsThe mean time interval from surgery to symptom onset was 7 hr 52 min. Six cases showed bleeding deep to the strap muscles, while the other 4 cases showed bleeding superficial to the muscles. Ecchymosis was prominent and dark in color in 3 of the 4 cases (75%) of superficial bleeding, however it was identified in only 2 of the 6 cases (33%) of deep bleeding. Respiratory distress occurred in two cases of hematoma deep to the strap muscles, but in none of the cases with superficial bleeding.ConclusionThe post-thyroidectomy hemorrhage had some different clinical patterns between the superficial cases and the deep cases, showing that life-threatening airway obstruction occurred from the deep hematoma. A thorough understanding of the clinical patterns of post-thyroidectomy hemorrhage between the cases of superficial and those cases of deep hematoma may provide valuable surgical tips to manage this potentially lethal complication.http://www.e-ceo.org/upload/pdf/ceo-2-72.pdfThyroidecotmyHemorrhageComplication |
| spellingShingle | Hyoung Shin Lee Bong Ju Lee Sung Won Kim Young Woo Cha Young Sik Choi Yo Han Park Kang Dae Lee Patterns of Post-thyroidectomy Hemorrhage Clinical and Experimental Otorhinolaryngology Thyroidecotmy Hemorrhage Complication |
| title | Patterns of Post-thyroidectomy Hemorrhage |
| title_full | Patterns of Post-thyroidectomy Hemorrhage |
| title_fullStr | Patterns of Post-thyroidectomy Hemorrhage |
| title_full_unstemmed | Patterns of Post-thyroidectomy Hemorrhage |
| title_short | Patterns of Post-thyroidectomy Hemorrhage |
| title_sort | patterns of post thyroidectomy hemorrhage |
| topic | Thyroidecotmy Hemorrhage Complication |
| url | http://www.e-ceo.org/upload/pdf/ceo-2-72.pdf |
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