title: Sparing Surgery for the Successful Treatment of Thyroid Papillary Carcinoma Invading the Trachea: A Case Report.
abstract: Published reports on salvage treatment for trachea reconstruction after total thyroidectomy or partial tracheotomy are available, some of them using structures of the trachea itself, auricular cartilage, a musculocutaneous flap, or other methods. In our report, we emphasize the importance of a search for a new material and approach for sparing surgery. The purpose of this article is to describe a case of a successful sparing surgery in a patient with advanced thyroid papillary carcinoma invading the trachea. After total thyroidectomy in 2012, partial resection of the trachea was performed in 2014. The lesion defect was 5.5 × 2.3 cm in size, located between 4 (2nd-6th) tracheal cartilaginous rings and involving about a semicircumference. It was reconstructed with the aid of the knitted TiNi-based mesh endograft, which has been prefabricated in the sternocleidomastoid muscle and further covered with the skin draped over the wound. The tracheostoma was fully closed 6 weeks after the surgery. There were neither side effects nor complications. This kind of tracheal surgery for extensive lesions demonstrates good functional and cosmetic outcomes.
authors.affiliation: Tomsk State University, Tomsk, Russian Federation; Tomsk Cancer Research Institute, Tomsk, Russian Federation.
authors.forename: Denis
authors.initials: D
authors.lastname: Kulbakin
authors.affiliation: Tomsk State University, Tomsk, Russian Federation; Kang & Park Medical Co. Ltd., Cheongju, South Korea.
authors.forename: Timofey
authors.initials: T
authors.lastname: Chekalkin
authors.affiliation: Tomsk Cancer Research Institute, Tomsk, Russian Federation.
authors.forename: Marat
authors.initials: M
authors.lastname: Muhamedov
authors.affiliation: Tomsk Cancer Research Institute, Tomsk, Russian Federation.
authors.forename: Evgeniy
authors.initials: E
authors.lastname: Choynzonov
authors.affiliation: Kang & Park Medical Co. Ltd., Cheongju, South Korea.
authors.forename: Ji-Hoon
authors.initials: JH
authors.lastname: Kang
authors.affiliation: Seoul National University Hospital, Seoul, South Korea.
authors.forename: Seung-Baik
authors.initials: SB
authors.lastname: Kang
authors.affiliation: Tomsk State University, Tomsk, Russian Federation.
authors.forename: Victor
authors.initials: V
authors.lastname: Gunther
keywords: Knitted TiNi-based mesh endograft; Prefabrication; Sparing surgery; Thyroid papillary carcinoma; Tracheal reconstruction