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CC BY 4.0 · Surg J (N Y) 2020; 06(04): e192-e194
DOI: 10.1055/s-0040-1721429
Case Report

Sinus Bradycardia after Extensive Neck Dissection and Total Thyroidectomy in a Pediatric Patient: A Case Report

Antonia Malli 
1   Department of B' Pediatric Surgery, General Children's Hospital of Athens “Panagiotis and Aglaia Kyriakou,” Attikis, Greece
,
Ioannis Skondras
1   Department of B' Pediatric Surgery, General Children's Hospital of Athens “Panagiotis and Aglaia Kyriakou,” Attikis, Greece
,
Maria Vakaki
2   Department of Radiology, General Children's Hospital of Athens “Panagiotis and Aglaia Kyriakou,” Attikis, Greece
,
Alexander Passalides
1   Department of B' Pediatric Surgery, General Children's Hospital of Athens “Panagiotis and Aglaia Kyriakou,” Attikis, Greece
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Abstract

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.

Keywords

papillary thyroid carcinoma - neck dissection - sinus bradycardia - postoperative


Publikationsverlauf

Eingereicht: 29. September 2020

Angenommen: 09. Januar 2020

Artikel online veröffentlicht:
14. Dezember 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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