Approach in Locally Advanced Poorly Differentiated Thyroid Cancer Followed by Salvage Surgery: A Video-Based Case Presentation
09-10, 11:45–12:15 (Europe/Istanbul), Head & Neck Oncology 4

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<p>Purpose / Aim</p> <p>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.</p> <p>Background</p> <p>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.</p> <p>Description</p> <p>Through operative video footage and perioperative documentation, ı will highlight:</p> <p>- Selection criteria for larynx-preserving surgery in locally advanced thyroid cancer<br>- Oncologic and functional considerations<br>- Management of post-radiation complications including laryngeal necrosis<br>- Techniques and outcomes of salvage laryngectomy and tracheal resection with free-tissue reconstruction</p>
<p>this case underscores the balance between oncologic safety and functional preservation, and provides practical insights into advanced endocrine and airway surgery decision pathways.</p>
Session Chair Session Chair
Oğuz Kuşcu
Speaker Speaker
orhan Asya
orhan Asya
<p>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.</p>
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Oğuz Kuşcu
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