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Korean Journal of Anesthesiology 2007;53(3):399-402.
DOI: https://doi.org/10.4097/kjae.2007.53.3.399   
Bilateral Pneumothorax Induced by Tracheal Injury during Total Thyroidectomy with Modified Radical Neck Dissection: A case report.
Woo Jong Choi, Young Soo Park, Sung Moon Jeong, Seung Woo Ku, Pyong Hwan Park
Department of Anesthesiology and Pain Medicine, Asan Medical Center, Ulsan University School of Medicine, Seoul, Korea. anesjsm@amc.seoul.kr
We experienced one case of bilateral pneumothorax developed after total thyroidectomy with modified radical neck dissection in a 44-year-old male patient with thyroid carcinoma. After the conclusion of the operation, the patient was extubated after confirming recovery of consciousness and spontaneous respiration. Soon after the extubation, sudden-onset dyspnea with desaturation was developed. Rapid re-intubation was performed. Bilateral pneumothorax with severe subcutaneous emphysema was recognized on chest radiograph and successfully treated by chest tube insertion. Secondary operation was performed and tracheal injury was proved to be the source of the pneumothorax. The patient was discharged uneventfully 14 days later.
Key Words: bilateral pneumothorax; total thyroidectomy with modified radical neck dissection; tracheal injury


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