Review of "Cartilage Framework Reconstruction After Resection of Thyroid Cartilage Chondrosarcoma: A Case Report" by Navach V, Chu F, Cattaneo A, Zorzi S, Scelsi D, Ansarin M in Otolaryngology Case Reports 2017; 4:12–4
December 28, 2017
https://doi.org/10.23999/j.dtomp.2017.3-4.3
J Diagn Treat Oral Maxillofac Pathol 2017;1:132−3.
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Hanna T. Review of "Cartilage framework reconstruction after resection of thyroid cartilage chondrosarcoma: a case report" by Navach V, Chu F, Cattaneo A, Zorzi S, Scelsi D, Ansarin M in Otolaryngology Case Reports 2017;4:12–4. J Diagn Treat Oral Maxillofac Pathol 2017;1(3−4):132−3.
This was a well written and creative case report on thyroid cartilage reconstruction (Fig 1) using a novel and simple technique of a free cartilage graft.
FIGURE 1. Cropped screenshot from the article of Navach V, Chu F, Cattaneo A, Zorzi S, Scelsi D, Ansarin M. Cartilage framework reconstruction after resection of thyroid cartilage chondrosarcoma: a case report. Otolaryngology Case Reports 2017;4:12–4. DOI: https://doi.org/10.1016/j.xocr.2017.07.002.
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As noted by the authors, there is literature to support the benefit of thyroid cartilage reconstruction by reducing incidence of airway collapse and emphysema. I do feel that this is somewhat subjective as there is literature to support unaffected levels of airway and respiratory function with no reconstruction for hemisphere resection of thyroid cartilage. I feel that that literature should also at least be addressed in this paper to be candid and objective.
I do feel that this method of reconstruction is simple with minimal donor sire morbidity, risk of major complications, or markedly increased operative time.
My only criticisms are:
1. That it should address the literature suggesting it may not be needed, as well as the literature stating is of benefit.
2. In cases where a soft tissue envelope is not maintained, a nonvascularized graft would be a poor choice.
In short, well written, useful paper.