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首页> 外文期刊>Auris, nasus, larynx >Primary reconstructive method for tracheal defect from invasion by differentiated thyroid carcinoma
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Primary reconstructive method for tracheal defect from invasion by differentiated thyroid carcinoma

机译：分化甲状腺癌入侵气管缺损的主要重建方法

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Differentiated thyroid carcinoma is not highly malignant, and thus surgical resection is the most common treatment even if the carcinoma has invaded the trachea. Although some cases exist in which the carcinoma invades the trachea, using the tracheal window resection method allows complete resection of the carcinoma. Yet these patients must often control a large tracheocutaneous wound until reconstructive surgery is performed because such surgery occurs secondarily. Our hospital admitted three patients for which tracheally invasive, differentiated thyroid carcinoma was surgically resected. Tracheal defects of 1/2 to 2/3 of the tracheal circumference were reconstructed primarily using the free forearm flap and costal cartilage during carcinoma resection. Following surgery, only a small tracheocutaneous fistula remained open, which was closed at about three months post-operation. The reconstructed tracheal space and transferred costal cartilage thickness were monitored by CT scan imaging at about 12 months post-operation. Details of the reconstructive method and postoperative changes in the reconstructed trachea and thickness of the costal cartilage are described in this report. (C) 2017 Elsevier B.V. All rights reserved.
机译：分化的甲状腺癌不是高度恶性的，因此即使癌侵入气管，外科切除也是最常见的治疗方法。尽管存在癌侵入气管的一些病例，但使用气管窗切除方法可以完全切除癌。然而，这些患者通常必须控制大的气管皮下伤口，直到进行重建手术，因为这种手术是二次发生的。我们的医院承认了三名患者，其中侵入性侵入性，分化的甲状腺癌是手术切除的。在癌切除期间主要使用自由前臂皮瓣和肋骨软骨来重建气管围绕气管周长的气管缺陷。手术后，只有一个小气管皮下瘘，仍然开放，在操作后约三个月内关闭。通过CT扫描成像在操作后约12个月监测重建的气管空间和转移的肋骨软骨厚度。本报告中描述了重建方法的细节和重建气管和肋骨软骨厚度的术后变化。 （c）2017 Elsevier B.v.保留所有权利。

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