Title: Laryngofissure Approach for Large Benign Tumour of Larynx:  A Case Report & Review

Authors: Dr Sushil Kumar Kashyap, Dr J.P. Purohit, Dr Sylveena Moshahary,  Dr Siva Selveraj, Dr Parul Sachan, Ishan Dixit

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.164

Abstract

There are various types of benign tumours of larynx, depending upon the site and size, their management may vary.1 The benign tumors either sessile or pedunculated. They are often detected at an early stage and removed by Micro laryngeal surgery. The benign tumors present with hoarseness of voice, dysphagia and sometimes difficulty in breathing.2 It is rare a condition that patient with benign tumour of larynx need trachestomy.

We are presenting a 50 yr old tracheostomized male patient having huge tumour of larynx, who was advised total laryngectomy. The multiple biopsies showed suspicion of malignant tumour. It was removed by laryngofissure approach as the tumour was not negotiable by MLS. Laryngofissure, also known as median thyrotomy, refers to vertically splitting the thyroid cartilage in the midline to gain access to the endolarynx 7.  Two years follow up shows no recurrence of disease.

References

   1.      New GB and Erich JB (1938) Benign tumors of the larynx: a study of 722 cases. Arch Otolaryngol 28:841–910

2.      Hegde MC, Kamath PM, Bhojwani K, Peter R, Babu PR (2005) Benign lesions of the larynx – a clinical study, IJLO 57(1):35–38

3.      H. U. Völker, M. Scheich, S. Höller et al., “Differential diagnosis of laryngeal spindle cell carcinoma and inflammatory myofibroblastic tumor—report of two cases with similar morphology,” Diagnostic Pathology, vol. 2, no. 1, article 1, 2007.

4.      N. Katase, R. Tamamura, M. Gunduz et al., “A spindle cell carcinoma presenting with osseous metaplasia in the gingiva: a case report with immunohistochemical analysis,” Head and Face Medicine, vol. 4, no. 1, article 28, 2008.

5.      L. D. R. Thompson, J. A. Wieneke, M. Miettinen, and D. K. Heffner, “Spindle cell (sarcomatoid) carcinomas of the larynx: a clinicopathologic study of 187 cases,” American Journal of Surgical Pathology, vol. 26, no. 2, pp. 153–170, 2002.

6.      Lo S, Ho WK. Schwannoma of the larynx—an uncommon cause of vocal cord immobility. Hong Kong Med J 2004;10:131–3

7.      Johan Fagan MBChB, FCORL, MMed ,Professor and Chairman ,Division of Otolaryngology University of Cape Town - Open Access Atlas Of Otolaryngology, Head & Neck Operative Surgery.

Corresponding Author

Dr Sylveena Moshahary

Junior Resident, Dept of ENT and Head & Neck surgery

MLB Medical College Jhansi