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Would you consider treating an adult patient with severe claustrophobia with daily anesthesia for 35 fractions if the goal is larynx preservation?

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Mednet Member
Mednet Member
Radiation Oncology · Medical University of South Carolina (Charleston)

This is an anecdotal case. I did this once for a patient. T3N0 SGL. Anesthesia wanted a trach to secure the patient's airway (was placed prior to starting treatment). General anesthesia for 35 treatments. Trach was removed soon after completing treatment. The patient is now 8 years post-treatment, l...

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Mednet Member
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network

If locally advanced cancer, do need to factor need for post op RT after surgery which would put you back in same conundrum.

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