Surgical management of thyroid carcinoma with laryngotracheal invasion.
Thyroid carcinoma that invades the airway can, in most cases, be treated by partial laryngectomy or partial tracheal resection. Total laryngectomy or circumferential tracheal reconstruction may be required in patients with extensive disease. Closure of subglottic and tracheal defects can be accomplished with the sternocleidomastoid myoperiosteal flap in a simple, single-staged procedure. Patterns of invasion and appropriate reconstruction are described.
Friedman
M
M
Department of Otolaryngology-Head and Neck Surgery, University of Illinois College of Medicine, Chicago.
D003413:Cricoid Cartilage / Q000601:surgery; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D009334:Neck Muscles / Q000637:transplantation; D009361:Neoplasm Invasiveness; D013524:Surgical Flaps; D013957:Thyroid Cartilage / Q000601:surgery; D013964:Thyroid Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013965:Thyroidectomy / Q000379:methods*; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000601:surgery*