Tracheal reconstruction using composite nasal septal graft in patients with invasive thyroid carcinoma.

Autor:	Dowthwaite S; Department of Otolaryngology - Head and Neck Surgery,Gold Coast Hospital,Southport,Queensland,Australia., Friel M; Department of Otolaryngology - Head and Neck Surgery,Princess Alexandra Hospital,Brisbane,Queensland,Australia., Coman S; Department of Otolaryngology - Head and Neck Surgery,Princess Alexandra Hospital,Brisbane,Queensland,Australia.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2015 Jan; Vol. 129 Suppl 1, pp. S16-20. Date of Electronic Publication: 2014 Nov 12.
DOI:	10.1017/S0022215114002795
Abstrakt:	Objective: This paper presents a series of three patients who were identified as having partial thickness involvement of the laryngotracheal complex secondary to invasive, well-differentiated thyroid cancer. These patients were managed with full thickness window resection and reconstruction using a composite nasal septal graft. Methods: A review of the Princess Alexandra Hospital database (comprising prospectively collated data) was undertaken to identify patients who had undergone full thickness tracheal resection and reconstruction using a composite nasal septal graft; demographic, operative technique and survival outcome data were collated. Results: Three patients had a composite nasal septal graft performed for reconstruction of full thickness laryngotracheal defects following the excision of well-differentiated thyroid cancer. There were no cases of local recurrence after a minimum of 18 months' follow up. Conclusion: This paper describes our surgical technique for reconstruction of these defects using a composite nasal septal graft. It also presents data on our three cases to date, in which the technique has been used safely. A discussion of the surgical management of locally invasive, well-differentiated thyroid cancer is provided.
Databáze:	MEDLINE
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