A Novel Surgical Technique for XXXX with Intra-Cricotracheal Invasion: Windmill Resection and Tetris Reconstruction.

@entity825 @entity1 @entity1143 @entity3557 @entity548 @entity55 @entity5 @entity957 @entity2737 @entity891 @entity86 @entity3746 @entity259
The most effective treatment for @entity259 ( @entity259 ) invading into the larynx and @entity825 is a complete surgical resection of the @entity5 , but currently employed techniques are less than ideal. We report a novel surgical technique, which we named Windmill resection and Tetris reconstruction, for @entity1 with @entity259 invading into the laryngeal lumen. We treated eight cases of @entity259 with invasion into the laryngeal lumen by Windmill resection and Tetris reconstruction. We analyzed complications, clinical data, and pathological findings for all @entity1 . @entity1 included one @entity1 and seven @entity1 (mean age 69        10  years). Histopathology of @entity259 indicated @entity5 in five @entity1 , poorly differentiated @entity5 in one @entity1 , @entity5 in one @entity1 , and @entity957 in one @entity1 . Unilateral recurrent laryngeal nerve (RLN) palsy was confirmed preoperatively by laryngoscope in four @entity1 , and none had @entity3746 . All @entity1 underwent Windmill resection and Tetris reconstruction along with total thyroidectomy (three @entity1 ), subtotal thyroidectomy (three @entity1 ), and lobectomy (two @entity1 ). Neck dissection was performed in all @entity1 . The average resected length of the larynx and @entity825 was 29        6  mm. Air leakage at the suture line occurred in three @entity1 ; two required further surgery, while the third was closed by insertion of a Penrose drain. @entity86 occurred in five @entity1 . Aspiration was observed in two @entity1 and resolved within 4  weeks. @entity55 , @entity891 , and @entity1143 occurred in some @entity1 . No other complications, including @entity548 , @entity2737 , or airway stenosis, occurred. There was no postoperative mortality and no recurrence at the anastomotic site. Two @entity1 underwent permanent tracheostomy due to permanent @entity3746 . Two @entity1 , one with @entity5 and the other with poorly differentiated @entity5 , recurred 13 and 21  months after surgery, while @entity1 with @entity3557 had no local recurrence. Importantly, laryngeal functions such as phonation and swallowing were preserved in all @entity1 . This novel surgical technique may be as effective as window resection of the larynx for local control of @entity259 and contributes to the quality of life of @entity1 by resulting in a less unsightly surgical wound.
