Sıdıka Deniz YALIM, Mehtap EROĞLU, Mustafa GEREK
Çukurova Anestezi ve Cerrahi Bilimler Dergisi - 2026;9(2):232-237
Aim: 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, a nd to assess whether routine or selective thyroidectomy is justified. Methods: We retrospec- tively analyzed patients who underwent total laryngectomy between 2019 and 2025. De- mographic and clinical data including age, gender, T stage, primary tumor localization, cervical lymph node metastasis, and the addition of thyroid gland excision were evalu- ated 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. Sixteen patients had supraglottic, 26 glottic, 20 transglottic and 4 patients had subglottic cancer. Fifteen patients had lymph node metast asis. In 26 patients, a lobectomy and in 7 patients total thyroidectomy was performed. Conclusions: In our clinic, total laryngectomy is generally preferred for T4a laryngeal tumors, selected T3 su- praglottic tumors with high tumor burden and impaired pulmonary function, and transglottic tumors. Based on our findings, thyroid gland invasion is uncommon, a nd therefore the addition of thyroidectomy to total laryngectomy should not be routine but rather performed selectively according to tumor stage and extension.
