A New Method for Spontaneous Closing of the Tracheal Defect without Secondary Operation after Round Window-shaped Resection of the Trachea for Invasive Thyroid Cancer

• Iwae Shigemichi

  Department of Head and Neck Surgery, Hyogo Medical Center for Adults

• Yonezawa Kouichiro

  Department of Head and Neck Surgery, Hyogo Medical Center for Adults

• Hara Sou

  Department of Head and Neck Surgery, Hyogo Medical Center for Adults

• Hashimoto Dai

  Department of Head and Neck Surgery, Hyogo Medical Center for Adults

• Hasegawa Toshifumi

  Department of Head and Neck Surgery, Hyogo Medical Center for Adults

Bibliographic Information

Other Title

• 甲状腺癌気管円窓状切除症例～二期的閉鎖手術を要さない気管皮膚瘻形成～
• コウジョウセンガンキカン エンソウジョウ セツジョ ショウレイ 2キテキ ヘイサ シュジュツ オ ヨウサナイ キカン ヒフロウケイセイ

Abstract

We devised a new method for closing a tracheal skin stoma caused by surgery for invasive thyroid cancer, without need for a secondary closing operation.<br> The bi-pedicled infrahyoid muscles were preserved when muscle invasion of the thyroid cancer was not in evidence. The preserved infrahyoid muscles were sutured circumferentially around the tracheal stoma after window-shaped resection of the tracheal wall was performed. When the lateral wall of the trachea was resected, a free tracheal cartilage flap was obtained from the frontal aspect of the trachea and was placed over the defect; then the infrahyoid muscles were sutured likewise. In all cases we were thus able to locate the tracheal skin stoma in the midline area of the trachea and the neck. The tracheal cannula was removed about one week after the operation, and the tracheal skin stoma closed spontaneously over a period of several days.<br> The advantages of this procedure are as follows, 1) A secondary operation to close the tracheal skin stoma is not needed. 2) The tracheal skin stoma closes spontaneously in a few days after removal of the tracheal cannula.

Journal

• Nihon Kikan Shokudoka Gakkai Kaiho

  Nihon Kikan Shokudoka Gakkai Kaiho 57 (6), 482-488, 2006

  The Japan Broncho-esophagological Society

Keywords

• thyroid cancer
• papillary carcinoma
• tracheal invasion
• tracheal skin stoma
• reconstruction of trachea

Details

• CRID: 1390282679990585472
• NII Article ID: 130004469787
• NII Article ID: 10018561659
• NII Book ID: AN00187474
• DOI: 10.2468/jbes.57.482
• ISSN: 18806848
• ISSN: 00290645
• NDL BIB ID: 8610430
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8610430
• Web Site: https://search.jamas.or.jp/link/ui/2007108786
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed