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CC BY 4.0 · Int Arch Otorhinolaryngol 2025; 29(04): s00451810076
DOI: 10.1055/s-0045-1810076
Original Research

Thyroidectomy with Tracheal/Cricotracheal Resection Anastomosis for Different Pathologies: Optimizing the Outcomes

Authors

  • Ahmed Musaad Abd-Elfattah

    1   Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt

  • Ali Tawfik

    1   Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt

  • Amr Hossam

    2   Department of Surgical Oncology, Mansoura University, Mansoura, Egypt

  • Mohammed Nashaat Mohammed

    3   Department of Anesthesia and Intensive Care, Mansoura University, Mansoura, Egypt

  • Hisham Atef Ebada 

    1   Department of Otorhinolaryngology, Mansoura University, Mansoura, Egypt

Funding No funding was received for this work.
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Abstract

Introduction

Thyroid cancer extending to trachea has a poor prognosis. Deep tracheal invasion necessitates circumferential tracheal resection and anastomosis with thyroidectomy to achieve radical resection. Thyroid gland invasion by advanced tracheal tumors is rare. Similarly, tracheal resection with thyroidectomy is the treatment of choice for these cancers.

Neck trauma that results in simultaneous damage of a tracheal segment and thyroid gland, may necessitate tracheal resection with thyroidectomy.

Objectives

The aim of this study was to evaluate the oncologic and functional outcomes in patients who had undergone thyroidectomy with tracheal/cricotracheal resection anastomosis for pathologies involving both a thyroid gland and airway.

Methods

This is a study that was conducted over 5 years on 11 patients who underwent thyroidectomy with tracheal/cricotracheal resection for pathologies involving both the thyroid gland and the airway (thyroid gland tumors, primary tracheal tumors, and traumatic impaction of the thyroid gland in the trachea).

Results

Successful outcomes were achieved in all patients. No intraoperative complications were reported. Minor postoperative complications were reported in 1 patient, in the form of limited surgical emphysema and air leak through the drains.

Conclusion

Tracheal/cricotracheal resection anastomosis represents the best compromise between oncologic radicality and postoperative quality of life. Highly skilled teams familiar with these types of airway surgery are required to achieve optimum results.

Keywords

thyroidectomy - tracheal stenosis - tracheal neoplasms - thyroid neoplasms - anastomosis

Authors' Contributions

AMA: literature search, data collection; AT: literature search, data collection; HAE: writing – original draft; AH: writing – original draft; MNM: writing – review & editing; AT: writing – review & editing. All authors read and approved the final manuscript.


Ethics Approval Statement

The study was approved by the Mansoura Faculty of Medicine Institutional Research Board (IRB: R.22.11.1947).


Data Availability Statement

Data supporting the results of this study are available upon a reasonable request from the corresponding author.




Publication History

Received: 12 September 2024

Accepted: 04 June 2025

Article published online:
09 October 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Ahmed Musaad Abd-Elfattah, Ali Tawfik, Amr Hossam, Mohammed Nashaat Mohammed, Hisham Atef Ebada. Thyroidectomy with Tracheal/Cricotracheal Resection Anastomosis for Different Pathologies: Optimizing the Outcomes. Int Arch Otorhinolaryngol 2025; 29: s00451810076.
DOI: 10.1055/s-0045-1810076