Transoral Endoscopic-Assisted Resection of Laryngeal Schwannoma: A Case Report
- سال انتشار: 1403
- محل انتشار: مجله علمی گوش و حلق و بینی ایران، دوره: 36، شماره: 1
- کد COI اختصاصی: JR_IJOTO-36-1_007
- زبان مقاله: انگلیسی
- تعداد مشاهده: 55
نویسندگان
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
چکیده
Introduction: Schwannoma, a peculiar benign nerve sheath tumour, is frequently hard to differentiate from other nerve tumours, such as neurofibroma. Around ۲۵%-۴۵% of all schwannomas emerge in the head and neck region, but only ۰.۱-۱.۵ % involve laryngeal structure. This tumour is most accurately diagnosed with biopsy via direct laryngoscopy; however, at some points this approach cannot detect a definitive diagnosis due to the surrounding capsule of the tumour and its similar histopathologic finding with other nerve sheath tumour.Case Report: Here, a case of ۵۶-year-old female is reported with chief complaints of severe progressive dyspnea and dysphagia. Diagnosis of schwannoma was confirmed on radiological and histopathological examination with certain hurdles. A complete surgical excision via endoscopic approach was done, revealing that the bottom of the mass was attached to the right arytenoid mucosa. The histopathological features showed non-malignant atypical neurofibroma but later confirmed as laryngeal schwannoma from immunohistochemical staining.Conclusion: Although schwannoma has an excellent outcome and prognosis when occurring elsewhere in the body, laryngeal involvement is an extremely rare area for this lesion. Complete resection with a patient-customized approach to the lesion is required to avoid relapses and provide good functional results.کلیدواژه ها
Laryngeal schwannoma, Transoral approach, surgical management, Tracheostomyاطلاعات بیشتر در مورد COI
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