Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report

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...

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Autores principales: Anup Sanjel, Shankar Prasad Shah, Shyam Thapa Chhetri, Sudip Mishra, Ashik Rajak, Prakash Banjade
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Publicado: Nepal Medical Association 2021
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spelling oai:doaj.org-article:a3c9b5c419934a2aac8980d24a491ff72021-11-18T19:20:12ZLaryngeal Schwannoma, Alarming Mass of Airway: A Case Report10.31729/jnma.63450028-27151815-672Xhttps://doaj.org/article/a3c9b5c419934a2aac8980d24a491ff72021-11-01T00:00:00Zhttp://www.jnma.com.np/jnma/index.php/jnma/article/view/6345https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X 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. Anup SanjelShankar Prasad ShahShyam Thapa ChhetriSudip MishraAshik RajakPrakash BanjadeNepal Medical Associationarticlebenign neoplasm; case report; larynx; schwannoma; tracheotomy.Medicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 243 (2021)
institution DOAJ
collection DOAJ
language EN
topic benign neoplasm; case report; larynx; schwannoma; tracheotomy.
Medicine (General)
R5-920
spellingShingle benign neoplasm; case report; larynx; schwannoma; tracheotomy.
Medicine (General)
R5-920
Anup Sanjel
Shankar Prasad Shah
Shyam Thapa Chhetri
Sudip Mishra
Ashik Rajak
Prakash Banjade
Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
description 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.
format article
author Anup Sanjel
Shankar Prasad Shah
Shyam Thapa Chhetri
Sudip Mishra
Ashik Rajak
Prakash Banjade
author_facet Anup Sanjel
Shankar Prasad Shah
Shyam Thapa Chhetri
Sudip Mishra
Ashik Rajak
Prakash Banjade
author_sort Anup Sanjel
title Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
title_short Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
title_full Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
title_fullStr Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
title_full_unstemmed Laryngeal Schwannoma, Alarming Mass of Airway: A Case Report
title_sort laryngeal schwannoma, alarming mass of airway: a case report
publisher Nepal Medical Association
publishDate 2021
url https://doaj.org/article/a3c9b5c419934a2aac8980d24a491ff7
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