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Head and Neck Cancers • Radiation Oncology
Would you consider treating an adult patient with severe claustrophobia with daily anesthesia for 35 fractions if the goal is larynx preservation?
After multiple failed attempts with typical radonc trouble-shooting (ativan, cutting out mask, oxygen, etc)
Answer from: Radiation Oncologist at Community Practice
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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Answer from: Radiation Oncologist at Community Practice
If locally advanced cancer, do need to factor need for post op RT after surgery which would put you back in same conundrum.