Thoracic Research and Practice
Poster Presentation

Surgical Treatment of A Tracheal Necrosis due to Mediastinitis after Thyroid Resection

1.

University of Health Sciences, Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, İstanbul, Turkey

2.

University of Health Sciences, Training and Research Hospital, İstanbul, Turkey

Thorac Res Pract 2019; 20: Supplement 311-311
DOI: 10.5152/TurkThoracJ.2019.311
Read: 1271 Downloads: 750 Published: 09 August 2019

Tracheal necrosis is very rare after thyroid surgery. Only a dosen of patients had been reported in the literature and just one of them was treated with anastomosis. A 51-year old man underwent thyroid resection and had an uneventful postoperative course. After 6 days he returned hospital with swelling in the neck and high fever. Under general anesthesia the incision was opened and purulent section was drained. The trachea was necrotic below the cricoid for 3 cm. Wide surgical debridment was performed and the wound was closed with vaccum-assited closure (VAC) system. The bronchial tree was cleaned with daily bronchoscopy. After 4 cycles of VAC the wound explored again. The proximal and distal ends of the trachea was trimmed to remove the infected tissues and end-toend anastomosis was performed.

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