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KMID : 0361020120550100642
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Korean Journal of Otolaryngology - Head and Neck Surgery
2012 Volume.55 No. 10 p.642 ~ p.645
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A Case of Window Resection and Secondary Reconstruction of the Trachea Invaded by Papillary Thyroid Carcinoma
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No Yong-Hyeon
Oh Jung-Ho
Kim Sung-Won
Lee Kang-Dae
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Abstract
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Generally, the treatment of well-differentiated thyroid cancer is not difficult, but it is so with invasive cancer which invades the airway such as the tracheal or cricoid cartilage. In case of circumferential invasion of the trachea, resection and end-to-end anastomosis is preferred. In the less-than-half involvement of the trachea, conservative management such as sternocleidomastoid periosteal flap, or fenestration and staged closure is feasible. But in more-than-half the involvement of the trachea, these managements are usually not preferred. Authors describe a case of tracheal fenestration and the closure of a tracheal defect, which are not usually found in such of cases. Some techniques and their advantages are presented with a review of related articles.
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KEYWORD
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Reconstructive surgical procedure, Thyroid papillary cancer, Tracheal invasion
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