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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-03
Widespread Subcutaneous Emphysema Developing After Thyroglossal Canal Cyst Surgery
Emine Aslanlar, Emine Cepni Kutahya, ’Ozkan Onall, Ilhan Ciftci
Published: March 30, 2018 | 141 100
DOI: 10.36347/sjams.2018.v06i03.048
Pages: 1050-1051
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Abstract
Thyroglossal ductus cyst is the most commonly occurring congenital neck mass on the midline of neck. During the embryologic development of thyroid gland, thyroglossal ductus is formed and after thyroid gland completes its migration, it does not disappear, becoming cystic. The majority of thyroglossal cysts are detected during childhood. Thyroglossal ductus cysts should be treated surgically because of the risk of infection, cosmetics and malignant degeneration. Minor complications are usually associated with the wound, including superficial surgical site infections, small abscesses around the sutures, seromas and dehiscence of the wound. Potential major complications include nerve injury, airway injury, thyroglossal cyst recurrence, hypothyroidism, blood transfusion and the development of a haematoma or abscess, which may warrant further surgical intervention. In the present case, tracheal rupture and widespread emphysema which are rare complications occurred. As subcutaneous emphysema, particularly when it is widespread as in the present case, may lead to respiratory distress, it closely interests anesthesists. The most important problem for the anesthesist is the safety of airway.