Autologous tracheal cartilage composite graft for a subglottic defect after laryngotracheal resection for invasive papillary thyroid carcinoma

@#<p style="text-align: justify;"><strong>OBJECTIVE: </strong>To present a function-preserving surgical technique of post-laryngotracheal resection reconstruction of the subglottic airway using autologous tracheal cartilage composite graft.</p><p style="text-align: justify;"><strong>METHODS:</strong></p><p style="text-align: justify;"><strong>     Design:</strong>            Case Report</p><p style="text-align: justify;"><strong>     Setting:</strong>           Tertiary Government Training Hospital</p><p style="text-align: justify;"><strong>     Participants:</strong>   One</p><p style="text-align: justify;"><strong>RESULT: </strong>A 77-year-old woman diagnosed with papillary thyroid carcinoma with laryngotracheal invasion underwent total thyroidectomy with laryngotracheal resection. The tracheal defect was reconstructed using end-to-end anastomosis of the trachea to the remaining cricoid. The cricoid (subglottic) defect was repaired using the harvested tracheal cartilage with mucosa. Post-operatively, the patient was maintained on nasogastric tube feeding and tracheostomy tube for 2 weeks. Subsequently, the nasogastric tube and tracheostomy tube were removed and the patient tolerated oral feeding without any airway problem. The last follow-up of the patient was 6 months post-operatively without complications.</p><p style="text-align: justify;"><strong>CONCLUSION: </strong>Autologous tracheal cartilage may be a potentially promising composite graft for reconstruction of the cricoid (subglottic) defect in a patient following laryngotracheal resection for invasive papillary thyroid carcinoma of the larynx and trachea.</p><p style="text-align: justify;"> </p>

Resección traqueal y anastomosis primaria en traumatismo traqueo esofágico por arma de fuego / Tracheal resection and primary anastomosis in tracheoesophagueal gunshot trauma

Introduction: even though tracheoesophagueal lesions due to cervicothoracic gunshot wound are infrecuent, they should always be considered in a lesion of this kind, based on the proximity of the structures in this area, as well as the rapid compromise and deterioration that can develop these patients if the air way or vascular structures are damaged. Clinical case: we present a patient with a tracheoesophageal gunshot trauma and the surgical repair.

Introducción: las lesiones traqueo esofágicas secundarias a heridas de bala en cuello, a pesar de ser infrecuentes, siempre deben descartarse frente a un mecanismo de este tipo, no sólo por la proximidad de las estructuras sino también por el importante compromiso y rápido deterioro que pudieran presentar estos pacientes si la vía aérea o estructuras vasculares se vieran comprometidas. Caso clínico: se presenta en este trabajo un paciente con lesión traqueo esofágica secundaria a herida de bala, además de la técnica de reparación utilizada.