Modified spiral tracheoplasty after extensive window resection of trachea for advanced thyroid cancer

Papillary thyroid carcinoma (PTC) occasionally invades tracheal cartilages. We adapted a reconstructive procedure “modified spiral tracheoplasty” to extensive tracheal defect after resection of locally advanced thyroid cancer. Extensive window resection of tracheal wall was performed in a 72-year-ol...

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Bibliographic Details
Published in:Auris, nasus, larynx nasus, larynx, 2019-12, Vol.46 (6), p.946-951
Main Authors: Otsuki, Naoki, Morita, Naruhiko, Furukawa, Tatsuya, Shinomiya, Hirotaka, Teshima, Masanori, Kojima, Yasutaka, Nibu, Ken-ichi
Format: Article
Language:English
Subjects:
Aged
Female
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Neoplasm Invasiveness
Reconstructive Surgical Procedures - methods
Thyroid cancer
Thyroid Cancer, Papillary - diagnostic imaging
Thyroid Cancer, Papillary - pathology
Thyroid Cancer, Papillary - surgery
Thyroid Neoplasms - diagnostic imaging
Thyroid Neoplasms - pathology
Thyroid Neoplasms - surgery
Thyroidectomy - methods
Tomography, X-Ray Computed
Trachea - diagnostic imaging
Trachea - pathology
Trachea - surgery
Tracheal resection
Tracheoplasty
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Summary:Papillary thyroid carcinoma (PTC) occasionally invades tracheal cartilages. We adapted a reconstructive procedure “modified spiral tracheoplasty” to extensive tracheal defect after resection of locally advanced thyroid cancer. Extensive window resection of tracheal wall was performed in a 72-year-old woman and a 48-year-old man with PTC invading intraluminal trachea. Remaining stumps of trachea were separated from the esophageal wall and were rotated by 90 degrees in opposite directions. Posterior and lateral walls were anastomosed and tracheocutaneous fistula was created to prevent postoperative airway obstruction. Postoperative course was uneventful in both cases. Tracheocutaneous fistula was successfully closed 3 to 4 months after the initial surgery. Modified spiral tracheoplasty is a safe and useful method to recreate a framework of trachea after extensive window resection for advanced thyroid cancer.
ISSN:0385-8146
1879-1476
DOI:10.1016/j.anl.2019.02.008