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