Cricotracheal Resection and Thyrotracheal Anastomosis for Thyroid Carcinoma Invading Airway

Papillary carcinoma thyroid (PCT) invading airway is rare, and the treatment for the same is challenging for the surgeon. We reported a 56-year-old female who presented with a history of blood-tinged sputum and dyspnea. Fine-needle aspiration cytology from thyroid was suggestive of PCT. Imaging showed the involvement of trachea and cricoid cartilage. The patient underwent total thyroidectomy with neck dissection and cricotracheal resection followed by thyrotracheal anastomosis. Surgery with the resection of involved structures is the treatment option for thyroid malignancy invading the airway, being said extend of surgical treatment should be crafted on individual case basis.