27 / 37
Notes:
Page 57
Volume 09
Otolaryngology: Open Access
ISSN: 2161-119X
ENT 2019
Craniofacial Surgery 2019
August 15-17, 2019
JOINT EVENT
conferenceseries
.com
August 15-17, 2019 Rome, Italy
&
3
rd
International Conference on
Craniofacial Surgery
4
th
European Otolaryngology-ENT Surgery Conference
Surgical interventions performed among patients with anaplastic thyroid carcinoma
Carlo Victorio Garcia, Arsenio Claro Cabungcal
and
Alfredo Quintin Pontejos
Philippine General Hospital, Philippines
A
naplastic thyroid carcinoma (ATC) has one of the most dismal prognoses for any malignancy. Attempts at
surgical clearance can be frustrating for both patient and surgeon and is generally only advocated for early
stage disease. For advanced cases, palliation and improved survival (however short) is the norm. In this paper,
we attempted to analyze the survival benefit of surgical interventions, namely tracheostomy and thyroidectomy,
performed on ATC patients admitted in a tertiary government hospital. A 5-year retrospective chart review of 22
patients was done. Patients discharged alive as of the time of last chart entry were followed up via phone interview
or personal visit. Patients who cannot be reached were censored in the analysis. Overall survival was1111111111 the
main outcome measure which was plotted as Kaplan-Meier estimates and compared via log-rank test. The incidence
of complications surrounding the two procedures were also noted. In this study, all patients presented with either
stage IVB or stage IVC disease. A significant difference in survival curves were noted when comparing between
stages (p<0.05). Subgroup analysis per stage, however, revealed no significant difference in overall survival when
comparing patients who did not undergo surgery, those who underwent tracheostomy or those who underwent
thyroidectomy for both IVB (p=0.244) or IVC (p=0.165) disease. The incidence of complications for tracheostomy
was 60%, the most common being mucus plugging. One patient succumbed to respiratory failure after accidental
decannulation. For thyroidectomy, the incidence of complications was 80% with hypocalcemia being the most
common.
Biography
Dr. Carlo Victorio Garcia is an otorhinolaryngology resident and he is presently working at University of the Philippines-Philippine General Hospital, Philippines.
mchoudhury@ggn.amity.eduCarlo Victorio Garcia, Otolaryngol (Sunnyvale) 2019, Volume 09