title: [One stage reconstruction of larynx and cervical trachea involved by advanced thyroid carcinoma].
abstract: 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.
authors.affiliation: Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012.
authors.forename: Fenglei
authors.initials: F
authors.lastname: Xu
authors.forename: Xinliang
authors.initials: X
authors.lastname: Pan
authors.forename: Liqiang
authors.initials: L
authors.lastname: Zhang
authors.forename: Dayu
authors.initials: D
authors.lastname: Liu
authors.forename: Dapeng
authors.initials: D
authors.lastname: Lei
authors.forename: Xinyong
authors.initials: X
authors.lastname: Luan
authors.forename: Guang
authors.initials: G
authors.lastname: Xie
mesh_terms: 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*