Carbon dioxide (CO 2 ) embolism is a rare but serious complication during transoral endoscopic thyroidectomy vestibular approach (TOETVA). We report the case of a 58-years-old Thai woman with hypertension and hyperthyroidism who underwent TOETVA for completion thyroidectomy. Intraoperatively, injury to the anterior jugular vein likely caused CO 2 embolism, indicated by a sudden rise in end-tidal CO 2 ....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists or hearing specialists; this surgical case report concerns a thyroid operation complication with no relevance to audiology or vestibular audiology practice.
For head and neck surgery teams, this case underscores the life-threatening risk of CO2 embolism during transoral endoscopic thyroid procedures and the need for vigilant intraoperative monitoring.
- 01A 58-year-old Thai woman developed CO2 gas embolism during transoral endoscopic thyroidectomy.
- 02The 'vestibular approach' in TOETVA refers to the oral vestibule (mouth), not the inner-ear vestibular system.
- 03CO2 embolism is a rare but potentially fatal complication of this minimally invasive thyroid surgery.
- 04Case highlights the importance of anesthesia and surgical monitoring in endoscopic neck procedures.
- 05No relevance to audiology, hearing loss, or inner-ear vestibular disorders.
CO2 embolism is a recognized rare complication of transoral endoscopic thyroidectomy via the vestibular approach (TOETVA).
studysupported- PMID
- 42515820
- DOI
- 10.1111/ases.70354.
- Journal
- Asian Journal of Endoscopic Surgery
- Publication type
- case_report
- Evidence level
- 4
- Sample size
- 1
- Population
- 58-year-old Thai woman undergoing transoral endoscopic thyroidectomy
- Intervention
- Transoral endoscopic thyroidectomy via vestibular approach (TOETVA)
Primary outcomes
Occurrence and management of intraoperative CO2 embolism