Abstract
BackgroundThe present study was conducted to explore the efficacy of using a free posterior tibial artery perforator flap (FPTAPF) for trachea reconstruction after resection of well‐differentiated thyroid carcinoma (WDTC) invading the trachea.MethodsWe retrospectively collected and analyzed clinical and surgical data from 14 patients who underwent tracheal reconstruction using a FPTAPF after resection of WDTC invading the trachea between August 2014 and July 2017.ResultsSatisfactory tracheal structure and functional recovery were obtained in 11 of the 14 patients. One patient had breathing difficulties after tracheostomy closure tests because of bilateral recurrent laryngeal nerve damage caused by disease invasion. Tracheostomy incision was not closed in 2 patients because they received postoperative adjuvant radioactive iodine 131 treatment.ConclusionSatisfactory tracheal reconstruction results were achieved in patients with resection of WDTC invading the trachea, indicating that a FPTAPF is a safe and reliable choice for management.
Highlights
Well-differentiated thyroid carcinoma (WDTC), including mainly papillary and follicular types, represents the most common endocrine malignancy
All the patients were diagnosed with thyroid papillary carcinoma using preoperative fine-needle aspiration pathology with ultrasound guidance
Appropriate reconstruction of the trachea following resection of malignancy is of great importance
Summary
Well-differentiated thyroid carcinoma (WDTC), including mainly papillary and follicular types, represents the most common endocrine malignancy. We considered that a FPTAPF might be an attractive alternative approach to tracheal reconstruction after tumor resection for patients with WDTC invading the trachea.
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