RESUMO
The present study aims to report the first case of chronic neck sinus post-thyroidectomy caused by oxidized regenerated cellulose (ORC). A 55-year-old female patient underwent a total thyroidectomy operation. Three months after the surgery, the patient presented with persistent purulent discharge and sinus at the site of the drain. A CT scan of the neck showed a fistula tract, deep-neck fluid collection, and bilateral paratracheal high-density lesions at the thyroid bed, suggesting infected foreign bodies. The patient underwent surgery, during which the mesh of the ORC was found nonresorbed at the paratracheal space. The treatment involved neck exploration with the removal of all retained material and excision of the sinus tract. The patient had a favorable outcome following the surgical excision of the sinus tract and the removal of retained hemostatic materials. Further research is needed to explore the risk factors and preventive measures for neck sinus formation to enhance the safety and outcomes of thyroidectomy.
RESUMO
The presence of foreign bodies in a chronic wound is a well-known phenomenon. The common locations are soft tissues of the wrist and neck, gastro-intestinal foreign objects, foreign objects in the ear and in the Uro-genital tract. aero digestive tract and chest. Retained foreign bodies in soft tissues become reason for formation of sinus which can be superimposed by infection. Most of foreign bodies in soft tissues remain un-detected, becoming the reason for delayed diagnosis. Some of the foreign bodies are inert and stay in the body tissues for prolonged time without causing any deleterious effect but few of them erode into surrounding tissues and cause prolonged illness. Tracheo-cutaneous fistula secondary to a foreign body in a child is rarely reported. In this case, the patient had retained foreign body in her neck for almost eight years which remained un diagnosed while being treated for various types of skin disease.