Tracheal reconstruction using composite nasal septal graft in patients with invasive thyroid carcinoma.
OBJECTIVE
This paper presents a series of three patients who were identified as having partial thickness involvement of the laryngotracheal complex secondary to invasive, well-differentiated thyroid cancer. These patients were managed with full thickness window resection and reconstruction using a composite nasal septal graft.


METHODS
A review of the Princess Alexandra Hospital database (comprising prospectively collated data) was undertaken to identify patients who had undergone full thickness tracheal resection and reconstruction using a composite nasal septal graft; demographic, operative technique and survival outcome data were collated.


RESULTS
Three patients had a composite nasal septal graft performed for reconstruction of full thickness laryngotracheal defects following the excision of well-differentiated thyroid cancer. There were no cases of local recurrence after a minimum of 18 months' follow up.


CONCLUSIONS
This paper describes our surgical technique for reconstruction of these defects using a composite nasal septal graft. It also presents data on our three cases to date, in which the technique has been used safely. A discussion of the surgical management of locally invasive, well-differentiated thyroid cancer is provided.
Department of Otolaryngology - Head and Neck Surgery,Gold Coast Hospital,Southport,Queensland,Australia.
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S
Dowthwaite
Department of Otolaryngology - Head and Neck Surgery,Princess Alexandra Hospital,Brisbane,Queensland,Australia.
M
M
Friel
Department of Otolaryngology - Head and Neck Surgery,Princess Alexandra Hospital,Brisbane,Queensland,Australia.
S
S
Coman
D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D002291:Carcinoma, Papillary; D064595:Composite Tissue Allografts / Q000637:transplantation*; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000637:transplantation*; D009361:Neoplasm Invasiveness; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D000077273:Thyroid Cancer, Papillary; D013964:Thyroid Neoplasms / Q000473:pathology / Q000601:surgery*; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000473:pathology / Q000601:surgery*
Otolaryngology