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Title: Tracheal reconstruction using composite nasal septal graft in patients with invasive thyroid carcinoma. Author: Dowthwaite S, Friel M, Coman S. Journal: J Laryngol Otol; 2015 Jan; 129 Suppl 1():S16-20. PubMed ID: 25388100. Abstract: 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. CONCLUSION: 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.[Abstract] [Full Text] [Related] [New Search]