Korean J Otorhinolaryngol-Head Neck Surg.  2012 Oct;55(10):642-645. 10.3342/kjorl-hns.2012.55.10.642.

A Case of Window Resection and Secondary Reconstruction of the Trachea Invaded by Papillary Thyroid Carcinoma

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. kosinent@yahoo.co.kr

Abstract

Generally, the treatment of well-differentiated thyroid cancer is not difficult, but it is so with invasive cancer which invades the airway such as the tracheal or cricoid cartilage. In case of circumferential invasion of the trachea, resection and end-to-end anastomosis is preferred. In the less-than-half involvement of the trachea, conservative management such as sternocleidomastoid periosteal flap, or fenestration and staged closure is feasible. But in more-than-half the involvement of the trachea, these managements are usually not preferred. Authors describe a case of tracheal fenestration and the closure of a tracheal defect, which are not usually found in such of cases. Some techniques and their advantages are presented with a review of related articles.

Keyword

Reconstructive surgical procedure; Thyroid papillary cancer; Tracheal invasion

MeSH Terms

Carcinoma
Cricoid Cartilage
Reconstructive Surgical Procedures
Thyroid Gland
Thyroid Neoplasms
Trachea
Carcinoma
Thyroid Neoplasms
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