title: Two cases of thyroid rupture after blunt cervical trauma.
abstract: The consequences of thyroid gland rupture following blunt cervical trauma can be quite grave. Almost all of these cases are associated with preexisting thyroid lesions; the traumatic rupture of a previously normal thyroid gland is very rare. Both surgical and nonsurgical management techniques have been advocated for thyroid injuries, but there is still no consensus on treatment. We report cases of thyroid gland rupture following blunt cervical trauma in 2 patients: a 24-year-old man with a previously normal thyroid and an 8-year-old boy with a preexisting thyroid nodule. The man was treated surgically and the boy was treated conservatively. Based on our experience with these cases and our review of the literature, we propose treatment guidelines for thyroid injuries.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, 222 Wangsimni-ro, Seongdong-gu, Seoul 133-792, Republic of Korea.
authors.forename: Ji Hoon
authors.initials: JH
authors.lastname: Shin
authors.forename: Yong Bae
authors.initials: YB
authors.lastname: Ji
authors.forename: Jin Hyeok
authors.initials: JH
authors.lastname: Jeong
authors.forename: Seung Hwan
authors.initials: SH
authors.lastname: Lee
authors.forename: Kyung
authors.initials: K
authors.lastname: Tae
mesh_terms: D000063:Accidents, Traffic; D002648:Child; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000150:complications*; D012421:Rupture / Q000000981:diagnostic imaging / Q000601:surgery; D013961:Thyroid Gland / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography; D014949:Wounds, Nonpenetrating / Q000150:complications*; D055815:Young Adult