Application of modified spiral tracheoplasty in thyroid carcinoma with trachea invasion: a retrospective analysis of 15 cases.

World J Surg Oncol

Department of Otorhinolaryngology Head and Neck Surgery, the Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.

Published: October 2024

AI Article Synopsis

  • The study investigates modified spiral tracheoplasty as a technique to repair large tracheal defects following thyroid cancer surgery between January 2019 and January 2022.
  • It analyzes patient records to assess the extent of defects, surgery duration (30-60 mins), and any postoperative complications, finding no major issues apart from recurrent laryngeal nerve palsy in 5 patients.
  • Results showed promising outcomes, including a 100% overall survival rate and 81.8% tumor-free survival rate over two years, indicating the method's safety and effectiveness.

Article Abstract

Background: To describe the indications, techniques and preliminary experience of modified spiral tracheoplasty in the reconstruction of large tracheal defect after thyroidectomy.

Methods: The medical records of patients who underwent tracheal torsion to repair large tracheal defects after thyroid carcinoma surgery from January 2019 to January 2022 were retrospectively reviewed. The extent of tracheal defect, duration of tracheal reconstruction, postoperative complications and surgery results were analyzed.

Results: The duration of tracheal reconstruction was 30-60 min. No postoperative bleeding, incision infection, tracheostomy stenosis occurred. Recurrent laryngeal nerve palsy occurred in 5 patients. All patients were followed up for 24 to 60 months. The 2-year overall survival rate was 100%, the 2-year local control rate of trachea was 100%, and the 2-year tumor-free survival rate was 81.8%.

Conclusion: The modified spiral tracheoplasty is a safe and effective method to repair the large defect of trachea after thyroid carcinoma invading the trachea.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11448305PMC
http://dx.doi.org/10.1186/s12957-024-03541-zDOI Listing

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