{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:06:30Z","timestamp":1789185990821,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Postoperative pneumothorax (PPTX) after thyroidectomy (TD) or parathyroidectomy (PT) is rare and primarily described in case reports with limited data on its prognostic significance in large populations. We aim to assess the incidence of PPTX and its association with clinical outcomes following TD or PT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We queried the TriNetX United States Research Network, identifying patients \u2265\u200918\u2009years of age who underwent open TD or PT between January 2000 and December 2025. Patients were separated by development of PTX within 7\u2009days postoperatively. Outcomes were assessed at 3 and 6\u2009months using odds ratios (ORs) and at 1\u2009year using hazard ratios (HRs), with 95% confidence intervals (CIs). The primary outcome was all\u2010cause mortality; secondary outcomes included risks for pneumonia, dysphagia, vocal cord paralysis, and need for mechanical ventilation as well as healthcare utilization rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 228,340 patients undergoing surgery, 237 (0.10%) developed PPTX. At 1\u2009year, PPTX was associated with increased risk of all\u2010cause mortality (HR 16.44, 95% CI 11.16\u201324.23), pneumonia (HR 6.14, 95% CI 3.48\u201310.83), dysphagia (HR 4.86, 95% CI 3.23\u20137.33), vocal cord paralysis (HR 5.19, 95% CI 3.31\u20138.15), and need for mechanical ventilation (HR 18.13, 95% CI 10.89\u201330.17). PPTX was also associated with higher rates of hospital readmission (HR 15.12, 95% CI 11.97\u201319.10) and emergency room visits (HR 2.09, 95% CI 1.33\u20132.28) (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). All outcomes were also significant at 3 and 6\u2009months after surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PPTX after TD or PT is exceedingly uncommon but associated with significantly worse mortality and morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70646","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T09:23:10Z","timestamp":1781256190000},"page":"4589-4595","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rare But Risky: Clinical Impacts of Pneumothorax After Thyroidectomy and Parathyroidectomy"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3436-8889","authenticated-orcid":false,"given":"Jessan A.","family":"Jishu","sequence":"first","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"LaForteza","sequence":"additional","affiliation":[{"name":"Louisiana State University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dara","family":"Bruce","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Riccio","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Liao","sequence":"additional","affiliation":[{"name":"Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaser Y.","family":"Bashumeel","sequence":"additional","affiliation":[{"name":"Department of Surgery Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5895-4403","authenticated-orcid":false,"given":"Emad","family":"Kandil","sequence":"additional","affiliation":[{"name":"Department of Surgery Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed A.","family":"Shama","sequence":"additional","affiliation":[{"name":"Department of Surgery Tulane University School of Medicine  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"issue":"10","key":"e_1_2_12_2_1","article-title":"Incidental Parathyroidectomy After Thyroid Surgery: A Single\u2010Center Study","volume":"12","author":"Granata 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