A Case of Window Resection and Secondary Reconstruction of the Trachea Invaded by Papillary Thyroid Carcinoma.
10.3342/kjorl-hns.2012.55.10.642
- Author:
Yong Hyeon NO
1
;
Jung Ho OH
;
Sung Won KIM
;
Kang Dae LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. kosinent@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Reconstructive surgical procedure;
Thyroid papillary cancer;
Tracheal invasion
- MeSH:
Carcinoma;
Cricoid Cartilage;
Reconstructive Surgical Procedures;
Thyroid Gland;
Thyroid Neoplasms;
Trachea
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2012;55(10):642-645
- CountryRepublic of Korea
- Language:Korean
-
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.
