{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T22:32:29Z","timestamp":1757543549533,"version":"3.37.3"},"reference-count":5,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2020,12,14]],"date-time":"2020-12-14T00:00:00Z","timestamp":1607904000000},"content-version":"vor","delay-in-days":74,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Postoperative complications after total thyroidectomy with extensive neck dissection in thyroid malignancies are well documented in the current literature. However, sinus bradycardia as a postthyroidectomy complication is a rare phenomenon and, to the best of our knowledge, few studies have identified it as a perioperative condition. In our study, we report a case of 9-year-old boy with papillary thyroid carcinoma, who underwent total thyroidectomy and bilateral neck dissection. Postoperatively, the surgery was complicated by initial vocal cord paresis and chyle leak. The patient also suffered from asymptomatic sinus bradycardia which self-resolved. Although causative factors cannot be determined by a single case, hypothyroidism, carotid sinus hypersensitivity, and bilateral damage to the middle cervical sympathetic ganglion could play a significant role in this uncommon pathophysiological condition.<\/jats:p>","DOI":"10.1055\/s-0040-1721429","type":"journal-article","created":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:38:01Z","timestamp":1607992681000},"page":"e192-e194","source":"Crossref","is-referenced-by-count":1,"title":["Sinus Bradycardia after Extensive Neck Dissection and Total Thyroidectomy in a Pediatric Patient: A Case Report"],"prefix":"10.1055","volume":"06","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3692-5115","authenticated-orcid":false,"given":"Antonia","family":"Malli","sequence":"additional","affiliation":[{"name":"Department of B' Pediatric Surgery, General Children's Hospital of Athens \u201cPanagiotis and Aglaia Kyriakou,\u201d Attikis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Skondras","sequence":"additional","affiliation":[{"name":"Department of B' Pediatric Surgery, General Children's Hospital of Athens \u201cPanagiotis and Aglaia Kyriakou,\u201d Attikis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Vakaki","sequence":"additional","affiliation":[{"name":"Department of Radiology, General Children's Hospital of Athens \u201cPanagiotis and Aglaia Kyriakou,\u201d Attikis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Passalides","sequence":"additional","affiliation":[{"name":"Department of B' Pediatric Surgery, General Children's Hospital of Athens \u201cPanagiotis and Aglaia Kyriakou,\u201d Attikis, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,12,14]]},"reference":[{"key":"ref1","first-page":"272.2e","volume-title":"Pediatric head and neck malignancies","author":"J David","year":"2015"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"S137","DOI":"10.4097\/kjae.2010.59.S.S137","article-title":"Temporary cardiac arrest in patient under robotically assisted total thyroidectomy causing carotid sinus hypersensitivity -a case report-","volume":"59","author":"H S Chung","year":"2010","journal-title":"Korean J Anesthesiol"},{"issue":"08","key":"ref3","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.amjmed.2014.03.009","article-title":"Thyroid and the heart","volume":"127","author":"I M Grais","year":"2014","journal-title":"Am J Med"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1017\/S0265021507001093","article-title":"Bradycardia-asystole during neck dissection","volume":"25","author":"N Eipe","year":"2008","journal-title":"Eur J Anaesthesiol"},{"issue":"01","key":"ref5","first-page":"9","article-title":"Characteristics of the middle cervical sympathetic ganglion: a systematic review and meta-analysis","volume":"21","author":"C Park","year":"2018","journal-title":"Pain Physician"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0040-1721429.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,15]],"date-time":"2020-12-15T00:38:39Z","timestamp":1607992719000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0040-1721429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10]]},"references-count":5,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2020,11,26]]},"published-print":{"date-parts":[[2020,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0040-1721429","relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"type":"print","value":"2378-5128"},{"type":"electronic","value":"2378-5136"}],"subject":[],"published":{"date-parts":[[2020,10]]}}}