title: [Problems of tracheotomy in locally invasive anaplastic thyroid cancer].
abstract: Between 1955-1985 515 patients with carcinoma of the thyroid have been operated. Among 170 cases with a local infiltration 69 tracheostomies were performed in 55% for lesions of both laryngeal nerves or intratracheal bleeding (absolute indication), in 45% as a prophylactic intraoperative procedure to avoid later death from asphyxiation (relative indication). In a retrospective study clinical results were analysed with special reference to the question whether patients profit by the tracheostomy. Follow-up examinations showed that tracheostomy did not influence the outcome of patients with a differentiated thyroid carcinoma while there was a remarkable difference in survival of patients with anaplastic tumors where those with a tracheostomy had a worse survival. In this group postoperative external radiotherapy often could not be administered or was delayed due to local complications of the tracheostoma.
authors.affiliation: Chirurgische Universitätsklinik Heidelberg.
authors.forename: T
authors.initials: T
authors.lastname: Hölting
authors.forename: H
authors.initials: H
authors.lastname: Meybier
authors.forename: H
authors.initials: H
authors.lastname: Buhr
mesh_terms: D000230:Adenocarcinoma / Q000556:secondary* / Q000601:surgery; D000402:Airway Obstruction / Q000601:surgery; D002277:Carcinoma / Q000556:secondary* / Q000601:surgery; D002291:Carcinoma, Papillary / Q000556:secondary* / Q000601:surgery; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000556:secondary* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008207:Lymphatic Metastasis; D011183:Postoperative Complications / Q000209:etiology; D013964:Thyroid Neoplasms / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000556:secondary* / Q000601:surgery; D014140:Tracheotomy
vernacular_title: Probleme der Tracheotomie beim organüberschreitenden anaplastischen Schilddrüsencarcinom.