Publication: Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Laryngeal schwannomas are rare tumors of neural sheath origin. They normally present as a slow-growing, encapsulated, submucosal mass commonly in the supraglottic region. We describe a 13-year-old boy presenting with a 4-month history of progressive worsening dysphagia. Fiber optic laryngoscopy and computed tomography revealed a polypoidal mass in the laryngeal surface of epiglottis abutting left the aryepiglottic fold, base of the tongue and hypopharyngeal wall. Direct laryngoscopic evaluation and microdebrider assisted debulking was performed with tracheostomy. Schwannoma was confirmed by histopathological study. In a regular follow-up after two months, 70 degree endoscopic evaluation revealed similar mass in the left aryepiglottic fold obscuring the vocal cord. Definite complete excision of the tumor was planned and endoscopic excision of the mass
was performed with removal of ipsilateral aryepiglottic fold, arytenoid and false vocal cord with retracheotomy. Rapid occurrence of mass after debulking and biopsy was demonstrated in this case. Though rare, neurogenic tumors of the larynx are life-threatening and need complete removal.
Description
Anup Sanjel
Department of Otorhinolaryngology & Head and Neck Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal
https://orcid.org/0000-0003-0480-1879
Shankar Prasad Shah
Department of Otorhinolaryngology & Head and Neck Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal
https://orcid.org/0000-0002-4560-5973
Shyam Thapa Chhetri
Department of Otorhinolaryngology & Head and Neck Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal
Sudip Mishra
Department of Otorhinolaryngology & Head and Neck Surgery, BP Koirala Institute of Health Sciences, Dharan, Nepal
https://orcid.org/0000-0001-8947-1199
Ashik Rajak
Department of Otorhinolaryngology & Head and Neck Surgery, Kathmandu Medical College Teaching Hospital, Kathmandu, Nepal
https://orcid.org/0000-0002-2219-3427
Prakash Banjade
Department of Emergency Medical Services, Government of Maldives, Ministry of Health Male, Maldives
Keywords
benign neoplasm, case report, larynx, schwannoma, tracheotomy.