Tracheal reconstruction using composite nasal septal graft in patients with invasive thyroid carcinoma
Tracheal reconstruction using composite nasal septal graft in patients with invasive thyroid carcinoma
复制标题
DOI：
10.1017/s0022215114002795
复制
发表时间：
2015-01-01
影响因子：
1.7
通讯作者：
Coman, S.
中科院分区：
文献类型：
--
作者：
Dowthwaite, S.;Friel, M.;Coman, S.
目的：本文介绍了一系列的三名患者谁被确定为有部分厚度参与喉气管复合体继发于浸润性，分化良好的甲状腺癌。这些患者采用全层开窗切除术和复合鼻中隔移植物重建。（包括前瞻性整理的数据），以确定谁经历了全层气管切除和重建使用复合鼻中隔移植物的患者;人口统计学，手术技术和生存结果数据进行了整理。三位病人在分化良好的甲状腺癌切除后，接受复合鼻中隔移植重建全层喉气管缺损。有没有局部复发的情况下，最低的18个月的后续up.Conclusion：本文介绍了我们的手术技术，这些缺陷的重建使用复合鼻中隔移植。它还提供了我们迄今为止三个病例的数据，其中该技术已被安全使用。局部浸润性，分化良好的甲状腺癌的外科治疗的讨论提供。
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.