The role of total laryngectomy in the management of intraluminal upper airway invasion by well-differentiated thyroid carcinoma.
Intraluminal invasion of the upper airway by well differentiated thyroid carcinoma is very uncommon, and the management can be problematic. Many conservative, reconstructive-type surgical procedures have been advocated to maintain normal laryngeal function. Although voice preservation is desirable, it may not always be in the patient's best interest and radical surgery, including total laryngectomy, may be necessary. We describe three cases in which total laryngectomy was performed, and review the indicators for this procedure in the treatment of this difficult to manage condition.
Donnelly
M J
MJ
Adelaide Hospital, Dublin 8, Ireland.
Timon
C I
CI
McShane
D P
DP
D000368:Aged; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D003413:Cricoid Cartilage / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery; D007825:Laryngectomy; D007830:Larynx / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D013957:Thyroid Cartilage / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013961:Thyroid Gland / Q000473:pathology* / Q000601:surgery*; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome