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游离胫后动脉穿支皮瓣用于高分化甲状腺癌侵犯气管患者的二期气管重建。

Free posterior tibial artery perforator flap for 2-stage tracheal reconstruction in patients after resection of well-differentiated thyroid carcinoma invading the trachea.

作者信息

Liu Jun, Lu Dan, Deng Di, Wang Ji, Gan Weigang, Zou Jian, Chen Fei, Yang Hui

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Head Neck. 2019 Jul;41(7):2249-2255. doi: 10.1002/hed.25675. Epub 2019 Feb 6.

DOI:10.1002/hed.25675
PMID:30729609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6618072/
Abstract

BACKGROUND

The 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.

METHODS

We 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.

RESULTS

Satisfactory 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.

CONCLUSION

Satisfactory 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.

摘要

背景

本研究旨在探讨游离胫后动脉穿支皮瓣（FPTAPF）用于高分化甲状腺癌（WDTC）侵犯气管切除术后气管重建的疗效。

方法

我们回顾性收集并分析了2014年8月至2017年7月期间14例行WDTC侵犯气管切除术后采用FPTAPF进行气管重建患者的临床和手术资料。

结果

14例患者中有11例获得了满意的气管结构和功能恢复。1例患者因疾病侵犯导致双侧喉返神经损伤，气管切开闭合试验后出现呼吸困难。2例患者因接受术后辅助放射性碘131治疗，气管切开切口未闭合。

结论

WDTC侵犯气管切除患者获得了满意的气管重建结果，表明FPTAPF是一种安全可靠的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/93dd1377d164/HED-41-2249-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/3117514bda3c/HED-41-2249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/961f25e7803a/HED-41-2249-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/6a9c71306007/HED-41-2249-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/d076ca482eb7/HED-41-2249-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/609c2e9c1272/HED-41-2249-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/93dd1377d164/HED-41-2249-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/3117514bda3c/HED-41-2249-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/961f25e7803a/HED-41-2249-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/6a9c71306007/HED-41-2249-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/d076ca482eb7/HED-41-2249-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/609c2e9c1272/HED-41-2249-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf40/6618072/93dd1377d164/HED-41-2249-g006.jpg

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[Priliminary study of pedicled sternocleidomastoid clavicular periosteocutaneous flap to repair the laryngotracheal defect].
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