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

Authors

  • Miguel V. Crisostomo, Jr. Department of Otorhinolaryngology Head and Neck Surgery Veterans Memorial Medical Center
  • Celso V. Ureta Department of Otorhinolaryngology Head and Neck Surgery Veterans Memorial Medical Center

DOI:

https://doi.org/10.32412/pjohns.v34i1.971

Keywords:

tracheal composite graft, laryngotracheal resection, crico-tracheal anastomosis, papillary thyroid carcinoma, subglottic defect

Abstract

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

Downloads

Download data is not yet available.

Downloads

Published

2019-06-18

How to Cite

1.
Crisostomo MV, Ureta CV. Autologous Tracheal Cartilage Composite Graft for a Subglottic Defect after Laryngotracheal Resection for Invasive Papillary Thyroid Carcinoma. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019 Jun. 18 [cited 2024 Nov. 18];34(1):60-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/971

Issue

Vol. 34 No. 1 (2019): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Surgical Innovation and Instrumentation

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.