A case of pediatric thyroid cancer treated with nerve regeneration devices for regenerating the recurrent laryngeal nerve

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  • Nishida Kensuke
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine Department of Otolaryngology, Head and Neck Surgery, Japanese Red Cross Kyoto Daiichi Hospital
  • Kimura Alisa
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Tsujikawa Takahiro
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Morimoto Hiroki
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Saburi Sumiyo
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Mukudai Shigeyuki
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Nagao Hikaru
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Nagasawa Shinsuke
    Department of Radiology, Kyoto Prefectural University of Medicine
  • Hirano Shigeru
    Department of Otolaryngology, Head and Neck Surgery, Kyoto Prefectural University of Medicine

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Other Title
  • 神経再生誘導チューブにより反回神経再建を行った小児進行甲状腺癌の1例

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Abstract

A 9-year-old boy was referred to our hospital because of a median cervical mass and sore throat. A diagnosis of papillary thyroid cancer （cT4aN1bM1） was made, and a total thyroidectomy, D3c dissection, and tracheostomy were performed. Intraoperatively, the left recurrent nerve required partial resection due to tumor invasion, and was reconstructed using a nerve regeneration tube for a defect length of 13mm. Excellent postoperative voice function was observed, and postoperative radioiodine therapy markedly reduced the size of the lung metastasis, and the patient is doing well. Although pediatric thyroid cancer is less common, advancement at the time of diagnosis is frequently observed, and there are cases that require recurrent nerve reconstruction as in adult patients. We report our experience of using a nerve regeneration tube for aggressive pediatric thyroid cancer.

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