[One stage reconstruction of larynx and cervical trachea involved by advanced thyroid carcinoma].
OBJECTIVE
To investigate clinical prognosis and the one-stage methods of reconstruction for advanced thyroid carcinoma while larynx and cervical trachea involved.


METHODS
One-stage resection and laryngotracheal reconstruction were performed in 18 advanced thyroid carcinomas. Among them, total laryngectomy were performed in 3 cases and partial laryngectomy in the other 4 larynx-involved cases. Cervical trachea involvement were found in all 18 cases. Besides 8 shave-off of tumor, area of trachea invaded by carcinoma were removed in other 10 cases. The methods applied for the tracheal reconstruction were 1 simple suture, 3 tracheal anastomosis, 2 pedicled sternocleidomastoid myoperiosteous flap, 3 insular myocutaneous pectoralis major flap and 1 cervical flap.


RESULTS
One patient died of cancer reoccurrence while in the hospitalization. Except for 3 cases with total laryngectomy, larynx preservation were done in 14 cases and tracheal cannula were pulled out in 8, blocked in 2 and kept carrying in 4 cases.


CONCLUSIONS
One stage reconstruction of larynx and cervical trachea involved by advanced thyroid carcinoma is feasible and practical. Curative rate, survival time and life quality all can be improved.
Xu
Fenglei
F
Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012.
Pan
Xinliang
X
Zhang
Liqiang
L
Liu
Dayu
D
Lei
Dapeng
D
Luan
Xinyong
X
Xie
Guang
G
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007825:Laryngectomy; D007830:Larynx / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013964:Thyroid Neoplasms / Q000601:surgery*; D014132:Trachea / Q000601:surgery*