A case of tracheal reconstruction using free rib cartilage and a forearm skin flap for laryngeal preservation in a patient with thyroid carcinoma with tracheal invasion

Abstract

In cases of thyroid cancer with tracheal invasion, laryngeal preservation and tracheal reconstruction after tracheal resection are crucial. The reliable preservation of the contralateral laryngeal recurrent nerve is important for laryngeal preservation. There have been reports of tracheal reconstruction with end-to-end anastomosis or two-stage reconstruction; however, tracheal reconstruction and resection at the same time has not been reported.
We present a case of thyroid carcinoma with tracheal invasion in which tracheal resection and reconstruction were performed at the same time. This approach enabled safe and secure reconstruction of the trachea.
We also reconsider the treatments for thyroid carcinoma with tracheal infiltration and report on the effectiveness of the above treatment.