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

Published online by Cambridge University Press:  12 November 2014

S Dowthwaite ,
M Friel  and
S Coman
S Dowthwaite*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Gold Coast Hospital, Southport, Queensland, Australia
M Friel
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia
S Coman
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia
*
Address for correspondence: Dr Samuel Dowthwaite, Department of Otolaryngology – Head and Neck Surgery, Gold Coast Hospital, Nerang Street, Southport, QLD 4215, Australia E-mail: [email protected]
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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.

Keywords

Thyroid NeoplasmsTracheaNasal CartilagesNasal SeptumTransplantsOtolaryngology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue S1 , January 2015 , pp. S16 - S20
Copyright
Copyright © JLO (1984) Limited 2014 

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