Evidence map›Paper›PMID 29183351›Full record

SynthesisBMC surgery2017

Thyroid gland hemorrhage after blunt neck trauma: case report and review of the literature.

Johannes Lemke, Markus N Schreiber, Doris Henne-Bruns, Gregor Cammerer, Andreas Hillenbrand

Open access · goldAbstract readCase ReportsSystematic Review
In one paragraph

Synthesis in BMC surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Isolated Cricoid Fracture and Thyroid Hematoma in Blunt Injury of the Neck.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Case Report of Spontaneous Thyroid Hemorrhage Following LMA Insertion.Journal of education & teaching in emergency medicine · 2020
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Johannes LemkeDepartment Surgery, Division of General and Visceral Surgery, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Markus N SchreiberDepartment of Anesthesiology, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Doris Henne-BrunsDepartment Surgery, Division of General and Visceral Surgery, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Gregor CammererDepartment Surgery, Division of General and Visceral Surgery, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081, Ulm, Germany.
Andreas HillenbrandDepartment Surgery, Division of General and Visceral Surgery, Ulm University Medical Center, Albert-Einstein-Allee 23, 89081, Ulm, Germany. Andreas.Hillenbrand@uniklinik-ulm.de.ORCID http://orcid.org/0000-0003-2896-4656
Universität Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThyroid hemorrhage is considered to be an uncommon complication following blunt trauma to the neck. This condition is potentially life-threatening due to airway compression and may therefore require emergency airway management and surgical intervention in some cases. CASE PRESENTATION: We present the case of a 52-year-old woman who experienced a traumatic thyroid gland rupture (right lobe) with subsequent active arterial bleeding from branches of the inferior thyroid artery. On the same day, the patient presented to our emergency department with a painful swelling of the neck with an inspiratory stridor and hoarseness a few hours after a cycling accident. A right hemithyroidectomy was performed. The postoperative course was uneventful. We identified 33 additional cases published in English literature within the last 30 years, reporting blunt trauma to the neck with hemorrhagic complication of the thyroid gland. We provide a systematic review and particularly consider the aspects of endocrine surgery.

conclusionThe treatment approach for patients with blunt thyroid trauma should be dependent on the extent of the thyroid injury. Patients with tracheal compression, active bleeding and increasing hoarseness/shortness of breath require emergency airway control and often surgical exploration for hemorrhage control followed by resection of the ruptured thyroid. Importantly, in contrast to routine thyroid surgery, no electromyographic endotracheal tube is used during emergency intubation. Exchange of an endotracheal tube should be carefully evaluated due to difficult airway management in this setting. For protection against double-sided recurrent nerve palsy and postoperative hypoparathyroidism, a unilateral approach is preferable whenever possible.

Indexed as

FemaleHemorrhageHumansMiddle AgedRuptureThyroid DiseasesThyroidectomyWounds, NonpenetratingBlunt neck traumaSurgeryThyroid gland hemorrhage

Identifiers

PMID29183351
PMCPMC5706149
OpenAlexW2769007056

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.