Browse > Article

A Case of Tracheal Reconstruction with Sternohyoid Muscle Flap in Papillary Thyroid Carcinoma Invading Trachea  

Wu, Hee Won (Department of Otolaryngology, School of Medicine, Ajou University)
Kim, Yeon Soo (Department of Otolaryngology, School of Medicine, Ajou University)
Shin, YooSeob (Department of Otolaryngology, School of Medicine, Ajou University)
Kim, Chul-Ho (Department of Otolaryngology, School of Medicine, Ajou University)
Publication Information
Korean Journal of Head & Neck Oncology / v.30, no.2, 2014 , pp. 115-118 More about this Journal
Abstract
Papillary thyroid carcinoma is known as its relatively high cure rate after surgical treatment. But invasion of the trachea by thyroid carcinoma is poor prognostic factor and the best management is en bloc surgical resection of the tumor invading the trachea. A 55-year-old man was diagnosed as papillary thyroid cancer with tracheal invasion. We treated the patient by total thyroidectomy with window resection of invading trachea followed by immediate reconstruction with sternohyoid muscle flap and tracheostomy. At 48 days after surgery, tracheostoma was closed and the patient had no functional complication by the surgical process. Until 10 months after surgery, there was no sign of recurrence and the patient led social life without any discomfort. We present this case with a review of the related literatures.
Keywords
Tracheal reconstruction; Sternohyoid muscle; Papillary thyroid carcinoma;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Honings J, Stephen AE, Marres HA, Gaissert HA. The management of thyroid carcinoma invading the larynx or trachea. Laryngoscope. 2010;120:682-689.   DOI
2 McCaffrey TV, Bergstralh EJ, Hay ID. Locally invasive papillary thyroid carcinoma: 1940-1990. Head Neck. 1994;16:165-172.   DOI   ScienceOn
3 Kowalski LP, Filho JG. Results of the treatment of locally invasive thyroid carcinoma. Head Neck. 2002;24:340-344.   DOI   ScienceOn
4 Grillo HC, Suen HC, Mathisen DJ, Wain JC. Resectional management of thyroid carcinoma invading the airway. Ann Thorac Surg. 1992;54:3-9; discussion 9-10.   DOI
5 Ishihara T1, Kobayashi K, Kikuchi K, Kato R, Kawamura M, Ito K. Surgical treatment of advanced thyroid carcinoma invading the trachea. J Thorac Cardiovasc Surg. 1991:102(5):717-720.
6 Ebihara M, Kishimoto S, Hayashi R, Miyazaki M, Shinozaki T, Daiko H, et al. Window resection of the trachea and secondary reconstruction for invasion by differentiated thyroid carcinoma. Auris Nasus Larynx. 2011;38:271-275.   DOI
7 Ozaki O, Sugino K, Mimura T, Ito K. Surgery for patients with thyroid carcinoma invading the trachea: circumferential sleeve resection followed by end-to-end anastomosis. Surgery. 1995:117(3):268-271.   DOI   ScienceOn
8 Lin S, Huang H, Liu X, Li Q, Yang A, Zhang Q, et al. Treatments for complications of tracheal sleeve resection for papillary thyroid carcinoma with tracheal invasion. Eur J Surg Oncol. 2014;40:176-181.   DOI
9 Ebihara M, Ebihara S, Kishimoto S, Saikawa M, Hayashi R, Onitsuka T, et al. [Surgical treatment of differentiated thyroid cancer with tracheal invasion]. Nihon Jibiinkoka Gakkai Kaiho. 1998;101:1406-1411.   DOI
10 Friedman M, Toriumi DM, Owens R, Grybauskas VT. Experience with the sternocleidomastoid myoperiosteal flap for reconstruction of subglottic and tracheal defects: modification of technique and report of long-term results. Laryngoscope. 1998:98(9):1003-1011.
11 Shinohara H1, Yuzuriha S, Matsuo K, Kushima H, Kondoh S. Tracheal reconstruction with a prefabricated deltopectoral flap combined with costal cartilage graft and palatal mucosal graft. Ann Plast Surg. 2004:53(3):278-281.   DOI
12 Czaja JM, McCaffrey TV. The surgical management of laryngotracheal invasion by well-differentiated papillary thyroid carcinoma. Arch Otolaryngol Head Neck Surg. 1997;123:484-490.   DOI   ScienceOn