Evaluation of The Necessity of The Thyroidectomy in Patients Undergoing Total Laryngectomy: A Single Center Experience

Öz

Objective: This study aimed to evaluate the necessity of thyroidectomy in patients undergoing total laryngectomy in a single-center experience. It focused on determining the incidence of thyroid gland invasion and its relationship with tumor stage and localization, and to assess whether routine or selective thyroidectomy is justified. Materials and methods: We retrospectively analyzed patients who underwent total laryngectomy between 2019 and 2025. Demographic and clinical data including age, gender, T stage, primary tumor localization, cervical lymph node metastasis, and the addition of thyroid gland excision were evaluated to determine factors associated with thyroidectomy during surgery. Results: The mean age of the patients (62 male and 4 female) was 65.9±9. Eight patients had stage T1, 33 T2, 18 T3, and 7 T4. 16 patients had supraglottic, 26 glottic, 20 transglottic and 4 patients had subglottic cancer. 15 patients had lymph node metastasis. In 26 patients, a lobectomy and in 7 patients total thyroidectomy was performed. Conclusion: In our clinic, total laryngectomy is generally preferred for T4a laryngeal tumors, selected T3 supraglottic tumors with high tumor burden and impaired pulmonary function, and transglottic tumors. Based on our findings, thyroid gland invasion is uncommon, and therefore the addition of thyroidectomy to total laryngectomy should not be routine but rather performed selectively according to tumor stage and extension. Keywords: laryngeal cancer, laryngectomy, thyroidectomy, metastasis

Anahtar Kelimeler

• laryngeal cancer
• laryngectomy
• thyroidectomy
• metastasis

Destekleyen Kurum

None

Etik Beyan

The study was approved by the Scientific Research Ethics Committee of Adana City Training and Research Hospital (Date: 30.03.2026, Number: 1251) and was conducted by the 2013 Declaration of Helsinki.

Total Larenjektomi Yapılan Hastalarda Tiroidektomi Gerekliliğinin Değerlendirilmesi: Bir Tek Merkez Deneyimi

Öz

Amaç: Bu çalışma, total larenjektomi geçiren hastalarda tiroidektominin gereklililiğini değerlendirmeyi amaçlayan tek merkezli bir çalışmadır. Tiroid invazyonunun sıklığı, tümör evresi ve lokalizasyonu ile ilişkisini ve rutin veya selektif tiroidektominin haklılığını değerlendirmeye odaklanmıştır. Yöntem: 2019 ile 2025 yılları arasında total larenjektomi uygulanan retrospektif olarak analiz ettik. Yaş, cinsiyet, T evresi, primer tümör lokalizasyonu, servikal lenf düğümü metastazı ve tiroid bezi eklenmesi gibi demografik ve klinik veriler, ameliyat sırasında tiroidektomi ile ilişkili faktörleri belirlemek için değerlendirildi. Bulgular: Çalışmaya 62’si erkek, 4’ü kadın olmak üzere toplam 66 hasta dahil edildi. Ortalama yaş 65,9±9 yıl idi. Sekiz hasta T1, 33 hasta T2, 18 hasta T3 ve 7 hasta T4 evresindeydi. Tümör lokalizasyonu 16 hastada supraglottik, 26 hastada glottik, 20 hastada transglottik ve 4 hastada subglottik olarak saptandı. 15 hastada lenf nodu metastazı mevcuttu. 26 hastada tiroid lobektomisi, yedi hastada total tiroidektomi uygulandı. Sonuç: Kliniğimizde total larenjektomi özellikle T4a larenks tümörlerinde ve yüksek tümör yüküne sahip, akciğer kapasitesi sınırlı seçilmiş T3 supraglottik tümörlerde ve transglottik tümörlerde tercih edilmektedir. Total larenjektomiye eşlik eden tiroidektomi kararının daha seçici kriterlerle verilmesi gerektiği kanaatindeyiz. Anahtar Kelimeler: larenks kanseri; total larenjektomi; tiroidektomi; metastaz

Anahtar Kelimeler

• larenks kanseri
• larenjektomi
• tiroidektomi
• metastaz

Destekleyen Kurum

Yok

Etik Beyan

Bu çalışma Adana Şehir Eğitim ve Araştırma Hastanesi Bilimsel Araştırmalar Etik Kurulu tarafından onaylanmıştır (Tarih: 30.03.2026, No:1251) ve 2013 Helsinki Deklarasyonu ile düzenlenmiştir.

Kaynakça

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