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

Abstract

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. This is a case series of five patients with thyroid carcinoma (one primary and four recurrent) with laryngeal involvement who underwent partial laryngectomy. 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). Partial laryngectomy should be considered for patients with thyroid cancer with limited laryngeal involvement.