09-10, 11:45–12:15 (Europe/Istanbul), Head & Neck Surgery 4
Purpose / Aim
To illustrate the decision-making process and surgical techniques in managing locally advanced poorly differentiated thyroid cancer, including an organ-preserving strategy followed by salvage laryngectomy in the setting of radiation-induced laryngeal necrosis.
Background
I am a high-volume thyroid surgeon with dedicated experience in managing aggressive thyroid cancers. In this presentation, I will discuss a patient with locally advanced poorly differentiated thyroid carcinoma who underwent larynx-preserving resection followed by adjuvant radiotherapy. Three months postoperatively, the patient developed radiation-induced laryngeal necrosis that failed conservative management. Salvage total laryngectomy and tracheal resection with free-flap reconstruction were subsequently performed.
Description
Through operative video footage and perioperative documentation, ı will highlight:
Selection criteria for larynx-preserving surgery in locally advanced thyroid cancer
Oncologic and functional considerations
Management of post-radiation complications including laryngeal necrosis
Techniques and outcomes of salvage laryngectomy and tracheal resection with free-tissue reconstruction
this case underscores the balance between oncologic safety and functional preservation, and provides practical insights into advanced endocrine and airway surgery decision pathways.
After graduating from Marmara University School of Medicine, I completed my residency in Otorhinolaryngology–Head and Neck Surgery at the same institution. I am currently working at Marmara University as a faculty member . My special clinical and academic interests include rhinology, skull base surgery, and endocrine surgery. I have international experience in rhinology and skull base surgery, and I also received a scholarship from the European Society of Endocrine Surgeons, through which I completed advanced training in endocrine surgery at two different centers in Europe.