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

  • 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
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

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Published
2019-06-18
How to Cite
1.
Crisostomo M, Ureta C. Autologous Tracheal Cartilage Composite Graft for a Subglottic Defect after Laryngotracheal Resection for Invasive Papillary Thyroid Carcinoma. PJOHNS [Internet]. 18Jun.2019 [cited 17Jul.2019];34(1):60-3. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/971
Section
Surgical Innovation and Instrumentation