Autologous Tracheal Cartilage Composite Graft for a Subglottic Defect after Laryngotracheal Resection for Invasive Papillary Thyroid Carcinoma
| Title: | Autologous Tracheal Cartilage Composite Graft for a Subglottic Defect after Laryngotracheal Resection for Invasive Papillary Thyroid Carcinoma |
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| Authors: | Miguel V. Crisostomo, Celso V. Ureta |
| Source: | Philippine Journal of Otolaryngology Head and Neck Surgery, Vol 34, Iss 1 (2019) |
| Publisher Information: | Philippine Society of Otolaryngology-Head and Neck Surgery, Inc., 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Otorhinolaryngology |
| Subject Terms: | tracheal composite graft, laryngotracheal resection, crico-tracheal anastomosis, papillary thyroid carcinoma, subglottic defect, Otorhinolaryngology, RF1-547 |
| More Details: | Objective: To present a function-preserving surgical technique of post-laryngotracheal resection reconstruction of the subglottic airway using autologous tracheal cartilage composite graft. Methods: Design: Case Report Setting: Tertiary Government Training Hospital Participants: One Results: A 77-year-old woman diagnosed with papillary thyroid carcinoma with laryngotracheal invasion underwent total thyroidectomy with laryngotracheal resection. The tracheal defect was reconstructed using end-to-end anastomosis of the trachea to the remaining cricoid. The cricoid (subglottic) defect was repaired using the harvested tracheal cartilage with mucosa. Post-operatively, the patient was maintained on nasogastric tube feeding and tracheostomy tube for 2 weeks. Subsequently, the nasogastric tube and tracheostomy tube were removed and the patient tolerated oral feeding without any airway problem. The last follow-up of the patient was 6 months post-operatively without complications. Conclusion: Autologous tracheal cartilage may be a potentially promising composite graft for reconstruction of the cricoid (subglottic) defect in a patient following laryngotracheal resection for invasive papillary thyroid carcinoma of the larynx and trachea. Keywords: tracheal composite graft; laryngotracheal resection; crico-tracheal anastomosis; papillary thyroid carcinoma; subglottic defect |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1908-4889 2094-1501 |
| Relation: | https://pjohns.pso-hns.org/index.php/pjohns/article/view/971; https://doaj.org/toc/1908-4889; https://doaj.org/toc/2094-1501 |
| DOI: | 10.32412/pjohns.v34i1.971 |
| Access URL: | https://doaj.org/article/c67a50cc6643471caf0cf82a8de34eca |
| Accession Number: | edsdoj.67a50cc6643471caf0cf82a8de34eca |
| Database: | Directory of Open Access Journals |
| ISSN: | 19084889 20941501 |
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| DOI: | 10.32412/pjohns.v34i1.971 |
| Published in: | Philippine Journal of Otolaryngology Head and Neck Surgery |
| Language: | English |