Sparing Surgery for the Successful Treatment of Thyroid Papillary Carcinoma Invading the Trachea: A Case Report

Abstract

Published reports on salvage treatment for trachea reconstruction after total thyroidectomy or partial tracheotomy are available, some of them using structures of the trachea itself, auricular cartilage, a musculocutaneous flap, or other methods. In our report, we emphasize the importance of a search for a new material and approach for sparing surgery. The purpose of this article is to describe a case of a successful sparing surgery in a patient with advanced thyroid papillary carcinoma invading the trachea. After total thyroidectomy in 2012, partial resection of the trachea was performed in 2014. The lesion defect was 5.5 × 2.3 cm in size, located between 4 (2nd–6th) tracheal cartilaginous rings and involving about a semicircumference. It was reconstructed with the aid of the knitted TiNi-based mesh endograft, which has been prefabricated in the sternocleidomastoid muscle and further covered with the skin draped over the wound. The tracheostoma was fully closed 6 weeks after the surgery. There were neither side effects nor complications. This kind of tracheal surgery for extensive lesions demonstrates good functional and cosmetic outcomes.

Repair of Orbital Post-Traumatic Wall Defects by Custom-Made TiNi Mesh Endografts

“…The positive interaction between the KTNM and surrounding tissues was previously studied in animal models [7,26], and it was also assessed clinically in 120 cancer patients, as reported in Refs. [10,27], where the survivability of KTNM placed in highly virulent media was highlighted. The said studies indicated that the formation of bone tissue occurred through indirect osteogenesis: loose connective tissue followed by the formation of dense semi-formed connective tissue, which was replaced by fibrocartilage.…”

“…Based on preoperative planning, the customized endograft is fabricated following the volume of upcoming repair as recommended in References [7,10,27]. Each KTNM is made of the TN-10 alloy superelastic filaments (60 µm in diameter), having a microporous, oxicarbonitride superficial layer [29,30].…”

Interaction of Bioresorbable Composite Implants Made by Solution Blow Spinning With Tissues

“…Denis Evgen'evich KULBAKIN 1,2,3,4 , Evgeniy Lkhamatsyrenovich CHOYNZONOV 1,2,3,5 , Nadezhda Viktorovna CHERDYNTSEVA 1,4 , Evgeniy Nikolaevich BOLBASOV 5 , Valeriy Anatol'evich SVETLICHNYI 4 , Ivan Nikolaevich LAPIN 4 , Sergei Ivanovich TVERDOKHLEBOV 5 , Aleksandr Aleksandrovich ZHERAVIN 6 , Lyudmila Nikolaevna BONDAR 1 , Vladimir Mikhaylovich PERELMUTER 1 выполняют замену дефектов скелета и мягких тканей, однако не могут адекватно восстановить тонкую, сложную анатомию челюстно-лицевой области [7].…”

Method of maxillofacial reconstruction using individualized implants made of bioactive ceramics

“…В связи с этим в последние десятиле-тия активно изучается возможность использования различных материалов в реконструкции пострезекци-онных дефектов челюстно-лицевой области. К их чис-лу относят различные алло-, ксено-и брефоматериалы, трикальцийфосфаты, гидроксиапатиты, композиты на основе синтетических и/или биологических струк-тур, полимеры, различные металлы и их сплавы [13,14]. Ограниченное применение перечисленных ма-териалов в реконструктивной хирургии обусловлено их недостатками: потенциальными токсичностью и ин-фицированностью, несущими риск развития воспали-тельных осложнений, низкой интеграционной способ-ностью и неадекватностью восстановления каркасной функции резецированного фрагмента черепа [4].…”