{"id":"https://openalex.org/W4366453381","doi":"https://doi.org/10.21037/gs-22-534","title":"Delayed respiratory distress after thyroidectomy\u2014another challenge for us: a case report","display_name":"Delayed respiratory distress after thyroidectomy\u2014another challenge for us: a case report","publication_year":2023,"publication_date":"2023-04-20","ids":{"openalex":"https://openalex.org/W4366453381","doi":"https://doi.org/10.21037/gs-22-534","pmid":"https://pubmed.ncbi.nlm.nih.gov/37284708","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10240440"},"language":"en","primary_location":{"id":"doi:10.21037/gs-22-534","doi":"https://doi.org/10.21037/gs-22-534","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gs-22-534","pdf_url":"https://gs.amegroups.com/article/viewFile/112924/pdf","source":{"id":"https://openalex.org/S2764374275","display_name":"Gland Surgery","issn_l":"2227-684X","issn":["2227-684X","2227-8575"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://gs.amegroups.com/article/viewFile/112924/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5043781379","display_name":"Maya Belitova","orcid":"https://orcid.org/0000-0001-9575-1947","observed_orcids":["https://orcid.org/0000-0001-9575-1947"]},"institutions":[{"id":"https://openalex.org/I2801370615","display_name":"Queen Giovanna Hospital","ror":"https://ror.org/050fh0z31","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I2801370615"]},{"id":"https://openalex.org/I30147112","display_name":"Medical University of Sofia","ror":"https://ror.org/01n9zy652","country_code":"BG","type":"education","lineage":["https://openalex.org/I30147112"]}],"countries":["BG"],"is_corresponding":true,"raw_author_name":"Maya Belitova","raw_affiliation_strings":["Department of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria","Department of Anesthesiology and Intensive Care at the University Hospital \"Queen","Giovanna-ISUL\", Medical University -Sofia, 8 Byalo more Street, Sofia 1527, Bulgaria","of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria","institution_ids":["https://openalex.org/I2801370615","https://openalex.org/I30147112"]},{"raw_affiliation_string":"Department of Anesthesiology and Intensive Care at the University Hospital \"Queen","institution_ids":[]},{"raw_affiliation_string":"Giovanna-ISUL\", Medical University -Sofia, 8 Byalo more Street, Sofia 1527, Bulgaria","institution_ids":["https://openalex.org/I30147112"]},{"raw_affiliation_string":"of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria;","institution_ids":["https://openalex.org/I2801370615","https://openalex.org/I30147112"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038822245","display_name":"Todor A. Popov","orcid":"https://orcid.org/0000-0001-5052-5866","observed_orcids":["https://orcid.org/0000-0001-5052-5866"]},"institutions":[{"id":"https://openalex.org/I2801370615","display_name":"Queen Giovanna Hospital","ror":"https://ror.org/050fh0z31","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I2801370615"]},{"id":"https://openalex.org/I30147112","display_name":"Medical University of Sofia","ror":"https://ror.org/01n9zy652","country_code":"BG","type":"education","lineage":["https://openalex.org/I30147112"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Todor Popov","raw_affiliation_strings":["Department of Otorhinolaryngology, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Otorhinolaryngology, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria","institution_ids":["https://openalex.org/I2801370615","https://openalex.org/I30147112"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109472039","display_name":"Ts. Marinov","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801370615","display_name":"Queen Giovanna Hospital","ror":"https://ror.org/050fh0z31","country_code":"BG","type":"healthcare","lineage":["https://openalex.org/I2801370615"]},{"id":"https://openalex.org/I30147112","display_name":"Medical University of Sofia","ror":"https://ror.org/01n9zy652","country_code":"BG","type":"education","lineage":["https://openalex.org/I30147112"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Tsvetomir Marinov","raw_affiliation_strings":["Department of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria","Department of Anesthesiology and Intensive Care at the University Hospital \"Queen","Giovanna-ISUL\", Medical University -Sofia, 8 Byalo more Street, Sofia 1527, Bulgaria","of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria","institution_ids":["https://openalex.org/I2801370615","https://openalex.org/I30147112"]},{"raw_affiliation_string":"Department of Anesthesiology and Intensive Care at the University Hospital \"Queen","institution_ids":[]},{"raw_affiliation_string":"Giovanna-ISUL\", Medical University -Sofia, 8 Byalo more Street, Sofia 1527, Bulgaria","institution_ids":["https://openalex.org/I30147112"]},{"raw_affiliation_string":"of Anesthesiology and ICU, University Hospital \"Queen Giovanna-ISUL\", Medical University of Sofia, Sofia, Bulgaria;","institution_ids":["https://openalex.org/I2801370615","https://openalex.org/I30147112"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5043781379"],"corresponding_institution_ids":["https://openalex.org/I2801370615","https://openalex.org/I30147112"],"apc_list":null,"apc_paid":null,"fwci":0.1636,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.43005493,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":93},"biblio":{"volume":"12","issue":"5","first_page":"710","last_page":"715"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11260","display_name":"Tracheal and airway disorders","score":0.5288000106811523,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11260","display_name":"Tracheal and airway disorders","score":0.5288000106811523,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11728","display_name":"Thyroid and Parathyroid Surgery","score":0.4047999978065491,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10830","display_name":"Airway Management and Intubation Techniques","score":0.0340999998152256,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/thyroidectomy-complications","display_name":"thyroidectomy complications","score":0.8140000104904175},{"id":"https://openalex.org/keywords/tracheostomy","display_name":"tracheostomy","score":0.6700000166893005},{"id":"https://openalex.org/keywords/tracheomalacia","display_name":"tracheomalacia","score":0.7110000252723694},{"id":"https://openalex.org/keywords/recurrent-laryngeal-nerve-injury","display_name":"recurrent laryngeal nerve injury","score":0.9869999885559082},{"id":"https://openalex.org/keywords/decannulation","display_name":"decannulation","score":0.6389999985694885},{"id":"https://openalex.org/keywords/rapid-sequence-induction","display_name":"rapid sequence induction","score":0.6840000152587891},{"id":"https://openalex.org/keywords/bilateral-vocal-fold-immobility","display_name":"bilateral vocal fold immobility","score":0.8309999704360962},{"id":"https://openalex.org/keywords/neck-infection","display_name":"neck infection","score":0.8399999737739563},{"id":"https://openalex.org/keywords/dyspnea","display_name":"dyspnea","score":0.7839999794960022},{"id":"https://openalex.org/keywords/voice-rehabilitation","display_name":"voice rehabilitation","score":0.4300000071525574}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.971358060836792},{"id":"https://openalex.org/C2778974821","wikidata":"https://www.wikidata.org/wiki/Q910455","display_name":"Tracheomalacia","level":3,"score":0.8129302263259888},{"id":"https://openalex.org/C2778333281","wikidata":"https://www.wikidata.org/wiki/Q4330029","display_name":"Airway obstruction","level":3,"score":0.7328513860702515},{"id":"https://openalex.org/C2777074255","wikidata":"https://www.wikidata.org/wiki/Q1351681","display_name":"Thyroidectomy","level":3,"score":0.6498733758926392},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6228539347648621},{"id":"https://openalex.org/C105922876","wikidata":"https://www.wikidata.org/wiki/Q1423981","display_name":"Airway","level":2,"score":0.6047073602676392},{"id":"https://openalex.org/C141983124","wikidata":"https://www.wikidata.org/wiki/Q188008","display_name":"Respiratory distress","level":2,"score":0.5056915283203125},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3578076958656311},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.34232115745544434},{"id":"https://openalex.org/C526584372","wikidata":"https://www.wikidata.org/wiki/Q16399","display_name":"Thyroid","level":2,"score":0.18959549069404602},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.21037/gs-22-534","doi":"https://doi.org/10.21037/gs-22-534","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gs-22-534","pdf_url":"https://gs.amegroups.com/article/viewFile/112924/pdf","source":{"id":"https://openalex.org/S2764374275","display_name":"Gland Surgery","issn_l":"2227-684X","issn":["2227-684X","2227-8575"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10240440","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10240440","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10240440/pdf/gs-12-05-710.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surg","raw_type":"Text"},{"id":"pmid:37284708","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37284708","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland surgery","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.21037/gs-22-534","doi":"https://doi.org/10.21037/gs-22-534","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gs-22-534","pdf_url":"https://gs.amegroups.com/article/viewFile/112924/pdf","source":{"id":"https://openalex.org/S2764374275","display_name":"Gland Surgery","issn_l":"2227-684X","issn":["2227-684X","2227-8575"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","jufo-1","ki-jl-1","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gland Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9940000176429749}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4366453381.pdf","grobid_xml":"https://content.openalex.org/works/W4366453381.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W2042280861","https://openalex.org/W2083427731","https://openalex.org/W2093865232","https://openalex.org/W2105390321","https://openalex.org/W2277257503","https://openalex.org/W2501957587","https://openalex.org/W2515225951","https://openalex.org/W2658559679","https://openalex.org/W2744608968","https://openalex.org/W2917301691","https://openalex.org/W2954826196","https://openalex.org/W3025209670","https://openalex.org/W3036183293","https://openalex.org/W3148358394","https://openalex.org/W3165647892","https://openalex.org/W3203984627","https://openalex.org/W4206702966"],"related_works":["https://openalex.org/W4367054864","https://openalex.org/W4310189313","https://openalex.org/W2365727359","https://openalex.org/W4379260479","https://openalex.org/W4401400226","https://openalex.org/W3006456732","https://openalex.org/W3157148902","https://openalex.org/W7095227360","https://openalex.org/W7155180291","https://openalex.org/W2587914393"],"abstract_inverted_index":{"Background:":[0],"Delayed":[1],"airway":[2,79,140],"obstruction":[3],"and":[4,55,81,169,190,231,259,276,281],"the":[5,45,61,86,101,108,114,117,123,156,171,177,194,212,228,232,249,256,287],"resulting":[6],"severe":[7],"dyspnea":[8,201],"with":[9,49,85,130,161,182,205],"acute":[10],"distress":[11],"are":[12],"rare":[13],"but":[14,225],"life-threatening":[15,139,242],"postoperative":[16,102,119,229,247],"thyroidectomy":[17,41,200,216],"complications.":[18,243],"Unfortunately,":[19],"if":[20],"not":[21,222],"adequately":[22],"attended":[23],"to":[24,100,112,143,255,262],"on":[25,116],"time,":[26],"they":[27],"could":[28,285],"cost":[29,286],"a":[30,50,186,215,267],"patient's":[31,172,288],"life.":[32,173,289],"Case":[33],"Description:":[34],"A":[35],"47-year-old":[36],"female":[37],"patient":[38,115,157,195,217,250,272],"who":[39],"underwent":[40,180],"was":[42,158,196],"left":[43],"at":[44],"end":[46],"of":[47,53,72,75,77,92,104,125,214,219,237,246,269],"surgery":[48],"tracheostomy,":[51],"because":[52],"tracheomalacia":[54],"recurrent":[56],"laryngeal":[57],"nerve":[58],"injury.":[59],"Within":[60],"next":[62],"ten":[63],"days,":[64],"her":[65],"health":[66],"condition":[67],"gradually":[68],"worsened.":[69],"She":[70],"complained":[71],"unexpected":[73],"symptoms":[74],"shortness":[76],"breath,":[78],"compromize":[80],"neck":[82,128],"inflammation":[83],"even":[84,204],"existing":[87],"tracheostomy":[88,181,206],"tube.":[89],"In":[90,153,244],"face":[91],"new":[93],"onset":[94],"dyspnea,":[95],"without":[96],"giving":[97],"proper":[98],"attention":[99],"course":[103,189],"this":[105],"complicated":[106],"patient,":[107],"consulting":[109],"otorhinolaryngologist":[110],"decided":[111],"decannulate":[113],"sixth":[118],"day.":[120],"This":[121],"precipitated":[122],"presentation":[124],"an":[126,144],"extensive":[127],"infection":[129],"resultant":[131],"total":[132],"bilateral":[133],"vocal":[134],"fold":[135],"immobility,":[136],"followed":[137],"by":[138],"obstruction,":[141],"due":[142],"unintentionally":[145],"forgotten":[146],"gauze":[147],"in":[148,207,211,227],"peritracheal":[149],"space":[150],"during":[151],"thyroidectomy.":[152],"critical":[154],"condition,":[155],"successfully":[159],"intubated":[160],"Rapid":[162],"Sequence":[163],"Induction,":[164],"which":[165],"enabled":[166],"ventilation,":[167],"oxygenation":[168],"saved":[170],"After":[174,185],"definitively":[175],"securing":[176],"airway,":[178],"she":[179],"tracheal":[183],"re-cannulation.":[184],"prolonged":[187],"antimicrobial":[188],"achieving":[191],"voice":[192],"rehabilitation,":[193],"decannulated.":[197],"Conclusions:":[198],"Post":[199],"is":[202,218,236],"possible":[203],"place.":[208],"The":[209],"decision-making":[210],"management":[213],"paramount":[220],"importance":[221],"only":[223,260],"intraoperatively,":[224],"also":[226],"period":[230],"gland":[233,257],"surgeon":[234,258],"expertise":[235],"supreme":[238],"value":[239],"for":[240],"avoiding":[241],"case":[245],"complaints,":[248],"should":[251],"be":[252],"referred":[253],"first":[254],"thereafter":[261],"other":[263],"medical":[264],"consultants.":[265],"Disregarding":[266],"variety":[268],"factors":[270,275],"like":[271],"characteristics,":[273],"risk":[274],"comorbidity,":[277],"available":[278],"diagnostic":[279],"tools":[280],"specific":[282],"recovery":[283],"profile":[284]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2023-04-22T00:00:00"}