JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (5): 52-54.doi: 10.6040/j.issn.1673-3770.0.2015.248

Previous Articles     Next Articles

Repair of tracheal defect after resection of thyroid carcinoma with acellular dermal matrix membrane

XU Zengrui1, ZHANG Jianxin1, SHI Jihong1, CAI Xiaolan2   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, Tianjin 4th Centre Hospital, Tianjin 300140, China;
    2. Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-06-22 Revised:2015-09-22 Online:2015-10-16 Published:2015-10-16

PDF (PC)

274

Abstract: Objective To explore the feasibility of using acellular dermal matrix membrane in tracheal defect repair after thyroid carcinoma resection. Methods Clinical data of 13 patients who suffered thyroid cancer involving trachea were retrospectively analyzed. All tracheal defects were repaired with heterogeneous acellular dermal matrix membrane. Results During the follow-up of 20 to 53 months, 11 cases removed tracheal tube smoothly, no granulation grew in trachea, and the lumen of repair site was smooth;2 cases failed to remove the tracheal tube, one of them developed infection of granulation, and the other had collapse of the repair site. Conclusion After resection of thyroid carcinoma involving the trachea, tracheal defect could be repaired by cellular dermal matrix membrane. Cases should be carefully selected in order to ensure the airway patency after operation.

Key words: Thyroid carcinoma, Repair, Acellular dermal matrix membrane, Tracheal defect

CLC Number: 

  • R736.1
[1] American Joint Committee on Cancer. NCCN guidelines: Thyroid carcinoma[S]. Version, 3, 2011.
[2] Weir H K, Thompson T D, Soman A, et al. The past, present and future of cancer incidence in the United States: 1975 through 2020[J]. Cancer, 2015, 121:1827-1837.
[3] McCarty T M, Kuhn J A, Williams W L Jr, et al. Surgical management of thyroid cancer invading the airway[J]. Ann Surg Oncol, 1997, 4(5):403-408.
[4] Segal K, Abraham A, Levy R, et al. Carcinomas of the thyroid gland invading larynx and trachea[J]. Clin Otolaryngol Allied Sci, 1984, 9(1):21-25.
[5] Mellière D J, Ben Yahia N E, Becquemin J P, et al. Thyroid carcinoma with tracheal or esophageal involvement: limited or maximal surgery?[J]. Surgery, 1993, 113(2):166-172.
[6] 杭剑萍,孟东,李励琦,等.侵犯气管的甲状腺癌切除后锁骨头带蒂软骨修补术12例报告[J].中华普通外科杂志,2007,22(1):85-87. HANG Jianping, MENG Dong, LI Liqi, et al. Thyroid carcinoma invading the trachea: treatment by partial tracheal resection and repair using the pedicled cartilage of the clavicle head in 12 cases[J]. Chin J General Surgery, 2007, 22(1):85-87.
[7] 刘志,崔鹏程,陈文弦,等.喉气管重建术中支架材料的选择及应用效果[J].中国修复重建外科杂志,2011,25(5):551-553. LIU Zhi, CUI Pengcheng, CHEN Wenxian, et al. Application of various materials in reconstruction of laryngotracheal framework[J]. Chin J Reparative Reconstructive Surgery, 2011, 25(5):551-553.
[8] Balasubramanian D, Thankappan K, Shetty S, et al. Cricotracheal reconstruction with free radial forearm flap and titanium mesh[J]. Head Neck, 2013, 35(2):178-180.
[9] 李仕晟,李友忠,唐青来,等.侵犯气管的分化型甲状腺癌的外科处理及预后分析[J].中华耳鼻咽喉头颈外科杂志,2014,49(10):802-806. LI Shisheng, LI Youzhong, TANG Qinglai, et al. Management and prognosis of differentiated thyroid carcinoma with tracheal invasion[J]. Chin J Otorhinolaryngol Head Neck Surgery, 2014, 49(10):802-806.
[10] Lin S, Huang H, Liu X, et al. Treatments for complications of tracheal sleeve resection for papillary thyroid carcinoma with tracheal invasion[J]. Eur J Surg Oncol, 2014, 40(2):176-181.
[11] 徐先发,李正江,王洵,等.高分化甲状腺癌侵犯喉气管的治疗及预后[J].中华医学杂志,2004,84(22):1888-1891. XU Xianfa, LI Zhengjiang, WANG Xun, et al. The management and prognosis of laryngotracheal invasion by well-differentiated thyroid carcinoma[J]. Nat Med J Chin, 2004, 84(22):1888-1891.
[1] LI Guifen, YI Lina. Application of periorbital blood supply for repairing tissue defects in the orbital region [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 80-83.
[2] SUN Guochen, SUN Yan, ZHANG Hong, WANG Baowei. Clinical characteristics and treatment of differentiated thyroid carcinoma in children. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 25-28.
[3] SUN Bin, GUO Bomin, KANG Jie, DENG Xianzhao, WU Bo, FAN Youben. Standardization of the diagnosis and treatment of anaplastic thyroid carcinoma. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 16-20.
[4] PAN Yongjie, PANG Wenhui, SUN Guochen, SUN Yan, ZHANG Hong. Expression and clinical significance of Heparanase and D2-40 in pediatric thyroid carcinoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 29-32.
[5] XU Shuhang, LI Chunrui, LIU Chao. Optimal management of differentiated thyroid carcinoma in children. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(6): 12-15.
[6] GONG Shanchun, ZHANG Haidong, ZHANG Qingxiang, HE Shuangba, YU Zhenkun. Meticulous operation of thyroid iobectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 5-9.
[7] HUANG Xiaoming, LIANG Faya, YU Shitong. Surgical treatment of papillary thyroid carcinoma under endoscopy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 13-16.
[8] QIU Jie, SUN Yan. Role of tumor marker in the diagnosis and treatment of thyroid carcinoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 28-31.
[9] WANG Yu, MA Ben. Ultrasound guided thermoablation does not fit for thyroid carcinoma and follicular neoplasm. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 20-22.
[10] CHEN Xiaohong. Precision therapy on medullary thyroid carcinoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 23-27.
[11] WANG Junming, SONG Xicheng, LI Dajian. Tunnel flaps repairing the defects in external nasal tumor resection. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 59-61.
[12] LI Yingying, SONG Xicheng. Advances on genetic polymorphism of DNA double-strand break repair genes and thyroid carcinoma. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 102-105.
[13] DUAN Chen, XU Xin, SHI Li. Expressions of EGF and EGFR in nasal polyps epithelium [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(2): 31-35.
[14] WANG Jin. Repair of big tympanic membrane perforation with cartilage island-perichondrium under endoscopy and microscopy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 8-9.
[15] ZHOU Peng, HE Qing-qing， ZHUANG Da-yong， FAN Zi-yi, ZHENG Lu-ming, ZHU Jian, YU Fang, YUE Tao, DONG Xue-feng. Regularity of lymph node metastasis in papillary thyroid carcinoma [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(6): 12-15.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd