Partial Laryngectomy for Thyroid Cancer: A Single Institution Case Series With Operative Techniques

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BACKGROUND: Partial laryngectomy has been well described as a management option for T1-3 laryngeal squamous cell cancers. However, there are a few case reports of partial laryngeal surgery for locally advanced thyroid carcinoma. METHODS: This is a case series of five patients with thyroid carcinoma (one primary and four recurrent) with laryngeal involvement who underwent partial laryngectomy. RESULTS: All patients had complete surgical resection without perioperative complications or postoperative speech or swallowing deficits, and none required a feeding tube or tracheostomy tube. No patients had postoperative radiation therapy or started systemic therapy within 2 years of surgery, while two patients had postoperative radioactive iodine. With a mean 26-month follow-up, only one patient had recurrence involving the larynx (cricoid cartilage recurrence at 26 months). CONCLUSION: Partial laryngectomy should be considered for patients with thyroid cancer with limited laryngeal involvement.

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