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갑상선 편평상피세포암종 환자에서 요전완유리피판을 이용한 후두기관재건술 1예

A Case of Laryngotracheal Reconstruction With Radial Forearm Free Flap in Patient With Thyroid Squamous Cell Carcinoma

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참고문헌

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주제분류이비인후과학

초록

Primary squamous cell carcinomas arising from the thyroid is an extremely rare malignancy,which clinically can invade the larynx and trachea. In such an event, thyroidectomy with enbloc resection and reconstruction is the treatment of choice. However, laryngotracheal recon-struction remains a challenge and no ideal reconstruction has yet been established. Herein, wereport a case of a thyroid squamous cell carcinoma invading the laryngotrachea. The tumorwas completely resected surgically, including the laryngotrachea wall, which was reconstruct-ed with a radial forearm free flap. The patient was decannulated one year after surgery and noevidence of disease was detected two years after surgery.

Abstract

Primary squamous cell carcinomas arising from the thyroid is an extremely rare malignancy,which clinically can invade the larynx and trachea. In such an event, thyroidectomy with enbloc resection and reconstruction is the treatment of choice. However, laryngotracheal recon-struction remains a challenge and no ideal reconstruction has yet been established. Herein, wereport a case of a thyroid squamous cell carcinoma invading the laryngotrachea. The tumorwas completely resected surgically, including the laryngotrachea wall, which was reconstruct-ed with a radial forearm free flap. The patient was decannulated one year after surgery and noevidence of disease was detected two years after surgery.

참고문헌 (12)

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  6. 이영호, "A Case of Tracheal Defect Reconstruction Using Anterolateral Thigh Free Flap in Patients with Papillary Thyroid Carcinoma Invading Tracheal Cartilage", 대한이비인후-두경부외과학회지, 60(6), pp.318~321 (2017), 대한이비인후과학회[DOI]
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  8. Fujiwara T, "Tracheal reconstruction with a prefabricated and double-folded radial forearm free flap", J Plast Reconstr Aesthet Surg, 62(6), pp.790~794 (2009)
  9. Rotolo N, "Complications from tracheal resection for thyroid carcinoma", Gland Surg, 6(5), pp.574~578 (2017)
  10. Bolfi F, "Primary squamous cell carcinoma of the thyroid diagnosed as anaplastic carcinoma : Failure in fine-needle aspiration cytology?", Case Rep Pathol, 2014, pp.301780~ (2014)
  11. Au JK, "Primary squamous cell carcinoma of the thyroid : A population-based analysis", Otolaryngol Head Neck Surg, 157(1), pp.25~29 (2017)
  12. Balasubramanian D, "Cricotracheal reconstruction with free radial forearm flap and titanium mesh", Head Neck, 35(6), pp.E178~80 (2013)

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