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KMID : 0361020220650060343
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 6 p.343 ~ p.346
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Intraocular Hemorrhage After Transoral Endoscopic Thyroidectomy Vestibular Approach
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Kim Joon-Hyung
Yeo Gwi-Eun
Kim Tae-Hoon
Hong Yong-Tae
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Abstract
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Transoral endoscopic thyroid surgery vestibular approach (TOETVA) is now widely per- formed globally with good cosmetic outcomes. However, there are complications related to this approach which surgeons should be aware of. We report here a 41-year-old female patient who had an unusual ocular complication after total thyroidectomy via TOETVA. She was di- agnosed with papillary thyroid carcinoma and received total thyroidectomy via TOETVA. She complained of floating particles in her right eye immediately after the operation. Fundus ex- amination revealed intraocular hemorrhage in her right eye. At one-month follow-up, all of the intraocular hemorrhage was improved by fundus examination, resolving her chief complaint. Surgeons and anesthesiologists should be aware of increased intracranial pressure during the TOETVA and possible ocular complications after the surgery, although they are rare.
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KEYWORD
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Eye hemorrhage, Thyroid cancer, Thyroidectomy
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