Poorly controlled blood pressure among key risk factors in rare but potentially lethal neck hematomas occurring after thyroidectomy.
CHICAGO — Neck hematomas following thyroid surgery, though rare, are highly associated with key factors including comorbid hypertension and blood pressure changes, underscoring the need for strict precautions in managing patients before and after surgery, new research shows.
To better identify such risk factors, Ajit-Roger and her colleagues conducted a retrospective study of all neck hematomas requiring surgical intervention occurring at Jewish General Hospital, McGill University in Montreal, between 2009 and 2024. Other characteristics included that five were smokers, nearly half had hypertension; four of the patients had type 2 diabetes, and all with diabetes had comorbid hypertension. Four patients had Graves’ disease.
There were also higher rates of total thyroidectomy, central neck dissection, and parathyroidectomy. Ajit-Roger suggests that delayed hematoma presentation may be “associated with larger surgical cavities, potentially masking earlier signs of bleeding.
Speculating on the causes, Ajit-Roger noted that “we know that hypertension causes vascular dysfunction, and a reduced heart rate could indicate an impaired autonomic response, whether it be from a beta blocker or not.”
Thyroid Disease Thyroid Dysfunction Otolaryngology ENT Specialty Head And Neck Surgery ENT Speciality Complication Of Thyroid Surgery Surgery Head And Neck Surgery Hypertension Thyroid Malignant Head And Neck Neoplasm Head And Neck Cancer Head And Neck Cancer (HNC) Thyroid Cancer Thyroid Carcinoma Cancer Of The Thyroid Blood Neck Cervical Region Of Neck
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