1. Tracheal reconstruction using composite nasal septal graft in patients with invasive thyroid carcinoma.
- Author
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Dowthwaite S, Friel M, and Coman S
- Subjects
- Carcinoma pathology, Carcinoma, Papillary, Female, Humans, Laryngeal Neoplasms pathology, Laryngeal Neoplasms surgery, Male, Middle Aged, Neoplasm Invasiveness, Retrospective Studies, Thyroid Cancer, Papillary, Thyroid Neoplasms pathology, Tracheal Neoplasms pathology, Carcinoma surgery, Composite Tissue Allografts transplantation, Nasal Septum transplantation, Plastic Surgery Procedures methods, Thyroid Neoplasms surgery, Trachea surgery, Tracheal Neoplasms surgery
- Abstract
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.
- Published
- 2015
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