Blunt injury to the thyroid gland: proposed classification and treatment algorithm.
BACKGROUND:: Traumatic hemorrhage of the thyroid gland is a rare injury with few published case reports. Surgical and nonsurgical management have been advocated but there is no consensus of opinion. METHODS:: This study is a retrospective review of published case reports including two own cases. A c...
| Publicado en: | Journal of Trauma Vol. 61; no. 4; pp. 1012 - 1016 |
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| Autores principales: | , , |
| Formato: | algorithm case study diagnostic images tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2006
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | BACKGROUND:: Traumatic hemorrhage of the thyroid gland is a rare injury with few published case reports. Surgical and nonsurgical management have been advocated but there is no consensus of opinion. METHODS:: This study is a retrospective review of published case reports including two own cases. A classification and an algorithm for diagnosis and treatment of thyroid gland injuries is proposed. RESULTS:: A literature review reveals 16 case reports. Of these, 11 patients underwent neck exploration for control of hemorrhage and resection of the associated thyroid abnormality while 5 patients were conservatively managed. Of note is the fact that 10 of the 16 patients (63%) had pre-existing thyroid disease. These 10 patients constituted (91%) of the group requiring surgical treatment. CONCLUSION:: Our proposed classification and algorithm offers management guidelines for this rather rare injury. Conservative treatment may be successful in selected patients with lower grade injuries and without concomitant thyroid disease. |
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