Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report
Abstract A 34-year-old male patient with recently diagnosed with medullary thyroid carcinoma underwent total thyroidectomy and radical neck dissection, requiring sharp dissection to separate the tumour from the trachea. He required post operative intubation due to bilateral vocal cord paralysis. He...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | World Journal of Surgical Oncology |
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| Online Access: | https://doi.org/10.1186/s12957-025-03653-0 |
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| author | Hanan Hemead Akshay J. Patel Hannah Jesani Sajith Kumar Irfan Ahmed Sat Parmar Robert Warner Neil Sharma Maninder S. Kalkat |
| author_facet | Hanan Hemead Akshay J. Patel Hannah Jesani Sajith Kumar Irfan Ahmed Sat Parmar Robert Warner Neil Sharma Maninder S. Kalkat |
| author_sort | Hanan Hemead |
| collection | DOAJ |
| description | Abstract A 34-year-old male patient with recently diagnosed with medullary thyroid carcinoma underwent total thyroidectomy and radical neck dissection, requiring sharp dissection to separate the tumour from the trachea. He required post operative intubation due to bilateral vocal cord paralysis. He developed ischaemic necrosis of the upper two thirds of the trachea presenting with marked surgical emphysema and an infective wound. The wound was opened, drained and an endotracheal tube was negotiated through the sloughed trachea into the distal intrathoracic trachea with the cuff inflated just above the carina. This complication was managed with total pharyngo-laryngectomy, anterior deep mediastinal tracheostomy and construction of a neo-cervical oesophagus with a free lateral thigh fascio-cutaneous flap. This case highlights the potential complications of a procedure, perseverance, collaboration amongst various disciplines and teamwork for treating a rare and complex condition. The patient was discharged and has had an excellent recovery with good quality of life over two years of follow up. |
| format | Article |
| id | doaj-art-1bfffc5b93e040aea1cc8c399787917a |
| institution | Kabale University |
| issn | 1477-7819 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj-art-1bfffc5b93e040aea1cc8c399787917a2025-01-19T12:25:51ZengBMCWorld Journal of Surgical Oncology1477-78192025-01-012311510.1186/s12957-025-03653-0Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-reportHanan Hemead0Akshay J. Patel1Hannah Jesani2Sajith Kumar3Irfan Ahmed4Sat Parmar5Robert Warner6Neil Sharma7Maninder S. Kalkat8Department of Thoracic Surgery, University Hospitals BirminghamDepartment of Thoracic Surgery, University Hospitals BirminghamDepartment of Thoracic Surgery, University Hospitals BirminghamDepartment of Thoracic Anaesthesia, University Hospitals BirminghamDepartment of Thoracic Anaesthesia, University Hospitals BirminghamDepartment of Maxillofacial Surgery, University Hospitals BirminghamDepartment of Plastic Surgery, University Hospitals BirminghamDepartment of Otolaryngology, Head and Neck Surgery, University Hospitals BirminghamDepartment of Thoracic Surgery, University Hospitals BirminghamAbstract A 34-year-old male patient with recently diagnosed with medullary thyroid carcinoma underwent total thyroidectomy and radical neck dissection, requiring sharp dissection to separate the tumour from the trachea. He required post operative intubation due to bilateral vocal cord paralysis. He developed ischaemic necrosis of the upper two thirds of the trachea presenting with marked surgical emphysema and an infective wound. The wound was opened, drained and an endotracheal tube was negotiated through the sloughed trachea into the distal intrathoracic trachea with the cuff inflated just above the carina. This complication was managed with total pharyngo-laryngectomy, anterior deep mediastinal tracheostomy and construction of a neo-cervical oesophagus with a free lateral thigh fascio-cutaneous flap. This case highlights the potential complications of a procedure, perseverance, collaboration amongst various disciplines and teamwork for treating a rare and complex condition. The patient was discharged and has had an excellent recovery with good quality of life over two years of follow up.https://doi.org/10.1186/s12957-025-03653-0Medullary Thyroid Carcinoma (MTC)Anterior Mediastinal Tracheostomy (AMT)Tracheal NecrosisPharyngolaryngectomyNeo-cervical Oesophagus |
| spellingShingle | Hanan Hemead Akshay J. Patel Hannah Jesani Sajith Kumar Irfan Ahmed Sat Parmar Robert Warner Neil Sharma Maninder S. Kalkat Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report World Journal of Surgical Oncology Medullary Thyroid Carcinoma (MTC) Anterior Mediastinal Tracheostomy (AMT) Tracheal Necrosis Pharyngolaryngectomy Neo-cervical Oesophagus |
| title | Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report |
| title_full | Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report |
| title_fullStr | Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report |
| title_full_unstemmed | Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report |
| title_short | Anterior mediastinal tracheostomy – a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer: a case-report |
| title_sort | anterior mediastinal tracheostomy a salvage procedure for tracheal necrosis after thyroidectomy for medullary thyroid cancer a case report |
| topic | Medullary Thyroid Carcinoma (MTC) Anterior Mediastinal Tracheostomy (AMT) Tracheal Necrosis Pharyngolaryngectomy Neo-cervical Oesophagus |
| url | https://doi.org/10.1186/s12957-025-03653-0 |
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