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 |
|---|---|
| Autores principales: | , , |
| Formato: | algorithm case study diagnostic images tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Oct2006
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106183941&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106183941 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00225282 20U jtl: Journal of Trauma issn: 00225282 maglogo: N pubinfo: dt: Oct2006 vid: 61 iid: 4 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106183941 106183941 2009313619 10.1097/01.ta.0000238621.83780.e0 NLM17033582 106183941 ppf: 1012 ppct: 4 formats: tig: atl: Blunt injury to the thyroid gland: proposed classification and treatment algorithm. aug: au: Heizmann O Schmid R Oertli D affil: From the Department of Surgery, University Hospital, Basel, Switzerland. sug: subj: Thyroid Gland Injuries Wounds, Nonpenetrating Therapy Female Middle Age Thyroid Diseases Complications Thyroid Gland Radiography Wounds, Nonpenetrating Classification Middle Aged: 45-64 years Female ab: 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. pubtype: Academic Journal doctype: algorithm case study diagnostic images tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|