Abstract |
A tracheal perforation was discovered after Nd-YAG laser thermal ablation (LTA) of a thyroid nodule. The LTA is a relatively new method of treatment of thyroid nodules, which consists of delivering laser energy into the thyroid by means of two optical fibres. The patient presented with a multinodular goitre and initially refused surgery, then underwent an LTA of a thyroid nodule. Fifty days after the procedure she started to have symptoms related to a tracheal stenosis and, after tracheoscopy, a tracheal perforation was diagnosed and she underwent a total thyroidectomy plus tracheal repair. The results of the histological examination revealed a goitre with a focal area of papillary carcinoma. This particular complication is likely the first of its kind to be described after the LTA of a thyroid nodule.
|
Authors | Gaetano Di Rienzo, Corrado Surrente, Camillo Lopez, Rosatea Quercia |
Journal | Interactive cardiovascular and thoracic surgery
(Interact Cardiovasc Thorac Surg)
Vol. 14
Issue 1
Pg. 115-6
(Jan 2012)
ISSN: 1569-9285 [Electronic] England |
PMID | 22108924
(Publication Type: Case Reports, Journal Article)
|
Topics |
- Aged
- Female
- Goiter, Nodular
(surgery)
- Humans
- Laser Therapy
(adverse effects)
- Lasers, Solid-State
(adverse effects, therapeutic use)
- Postoperative Complications
- Rupture
- Thyroidectomy
(adverse effects, methods)
- Trachea
(injuries)
- Tracheal Diseases
(diagnosis, etiology)
|