Ananth S Mathad, Surbhi Varshney, Nawaz Usman, Akhil Palod, Preethi S Shetty, Naveena An Kumar
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引用次数: 0
Abstract
Aim: Tracheal invasion by thyroid cancers poses significant surgical challenges. In this case series, we present our experience of tracheal resection and reconstruction in eight patients. This study highlights the importance of a coordinated multidisciplinary approach and technique of partial tracheal resection as well as evaluates the outcomes of this complex surgical intervention.
Materials and methods: This study is the retrospective analysis of prospectively maintained data base of Thyroid cancer.
Results: The tracheal resection and reconstruction was performed in eight patients, including five males and three females, with a median age of 51 years. Seven patients had papillary thyroid carcinoma, while one had medullary thyroid carcinoma. Seven underwent partial tracheal resection, and one had full-thickness resection with anastomosis, achieving negative margins in all cases. No major complications related to tracheal resection and reconstruction except one patient had mortality due to carotid blow out. Over a median follow-up of 24 months (12-28 months), 6 patients remained disease-free.
Conclusion: Tracheal resection and reconstruction for thyroid cancer with tracheal invasion is a viable approach, offering favourable outcomes in carefully selected patients. While the procedure is associated with inherent risks, a multidisciplinary approach and technical expertise are pivotal in minimizing complications and optimizing survival.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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