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Autologous Tracheal Cartilage Composite Graft for a Subglottic Defect after Laryngotracheal Resection for Invasive Papillary Thyroid Carcinoma

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Title: Autologous Tracheal Cartilage Composite Graft for a Subglottic Defect after Laryngotracheal Resection for Invasive Papillary Thyroid Carcinoma
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
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  Data: Philippine Journal of Otolaryngology Head and Neck Surgery, Vol 34, Iss 1 (2019)
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  Data: 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
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        Type: general
      – SubjectFull: laryngotracheal resection
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      – SubjectFull: papillary thyroid carcinoma
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      – SubjectFull: subglottic defect
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