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Online J Otolaryngol. 2015; 5(Supplement 2): 76-83


Post-thyroidectomy hematoma : a rare but potentially fatal complication

Sudhir M Naik, Ravishankara S, Mohan Appaji, MK Gautham, Pinky Devi, Sarika S Naik.

Abstract
Background/ objectives: Post-thyroidectomy hematoma is a rare but fatal complication of thy-roidectomy. The incidence of hematoma has dropped to less than 2-3% due to better preoper-ative preparation & major refinements in surgical techniques.
Setting: Department of ENT, Head & Neck Sur-gery, KVG Medical College, Sullia.
Case report: We report a case of post- thyroidec-tomy hematoma in an elective surgery done for a large thyroid. The hematoma occurred 15 minutes after surgery & was managed success-fully under general anaesthesia.
Intervention: Urgent evacuation of the hemato-ma was done under general anaesthesia & bleeders were re-ligated. 2 pints of A+ blood was transfused.

Conclusion: Post-thyroidectomy hematoma leading to airway obstruction is a fatal complication which needs emergency management. Post-operative care include attention to the drain, careful monitoring in the recovery room & appreciation of subtle signs of respiratory distress. So every thyroidectomy case can bleed & cause hematoma complication. Prevention & early intervention can avoid fatal complications.

Key words: Hematoma, post thyroidectomy hematoma



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