Malli Antonia, Skondras Ioannis, Vakaki Maria, Passalides Alexander
Department of B' Pediatric Surgery, General Children's Hospital of Athens "Panagiotis and Aglaia Kyriakou," Attikis, Greece.
Department of Radiology, General Children's Hospital of Athens "Panagiotis and Aglaia Kyriakou," Attikis, Greece.
Surg J (N Y). 2020 Dec 14;6(4):e192-e194. doi: 10.1055/s-0040-1721429. eCollection 2020 Oct.
Postoperative complications after total thyroidectomy with extensive neck dissection in thyroid malignancies are well documented in the current literature. However, sinus bradycardia as a postthyroidectomy complication is a rare phenomenon and, to the best of our knowledge, few studies have identified it as a perioperative condition. In our study, we report a case of 9-year-old boy with papillary thyroid carcinoma, who underwent total thyroidectomy and bilateral neck dissection. Postoperatively, the surgery was complicated by initial vocal cord paresis and chyle leak. The patient also suffered from asymptomatic sinus bradycardia which self-resolved. Although causative factors cannot be determined by a single case, hypothyroidism, carotid sinus hypersensitivity, and bilateral damage to the middle cervical sympathetic ganglion could play a significant role in this uncommon pathophysiological condition.
甲状腺恶性肿瘤行全甲状腺切除及广泛颈清扫术后的并发症在当前文献中有充分记载。然而，窦性心动过缓作为甲状腺切除术后的并发症是一种罕见现象，据我们所知，很少有研究将其确定为围手术期情况。在我们的研究中，我们报告了一例9岁患乳头状甲状腺癌的男孩，他接受了全甲状腺切除及双侧颈清扫术。术后，手术出现了初期声带麻痹和乳糜漏等并发症。患者还出现了无症状性窦性心动过缓，随后自行缓解。尽管单个病例无法确定病因，但甲状腺功能减退、颈动脉窦过敏以及颈中交感神经节双侧损伤可能在这种不常见的病理生理状况中起重要作用。
