Tripuraneni Satish Chandra, Murthy P S N, Lalam Chandana Sri, Jaya Krishna A, Sadhana O
Department of Otorhinolaryngology and Head and Neck Surgery, DR PSIMS&RF, Chinoutpalle, Gannavaram, Andhra Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5782-5785. doi: 10.1007/s12070-020-02308-8. Epub 2021 Jan 23.
Mass lesions of the larynx are one of the most common clinical entity which we come across in routine otorhinolaryngology and head neck practice with varied symptomatology. Among all the mass lesions of the larynx, Epithelial neoplasms constitute up to 97%. Mesenchymal tumours of the larynx constitute only 0.3-1.0% of all the laryngeal tumors. Abundance of cartilage structures in the larynx made it a spot for mesenchymal tumors [chondromas and chandrosacrcomas]. The spectrum of mesenchymal neoplasms can vary from chondromas, chondroblastoma to chondrosarcoma. Here we want to share our experience of a mesenchymal tumour of the larynx. This case is reported for the rarity and ambiguity in diagnosis. Though these are slow-growing tumours with an early presentation, in our case, the patient had a supportive tracheostomy without definitive treatment for more than 2 years. We managed this patient by excising the mass by lateral pharyngotomy with the preservation of larynx followed by successful Decannulation in 20 days.
喉部肿物是我们在日常耳鼻咽喉头颈外科诊疗中最常见的临床病症之一，症状多样。在喉部所有肿物中，上皮性肿瘤占比高达97%。喉部间叶组织肿瘤仅占所有喉部肿瘤的0.3 - 1.0%。喉部丰富的软骨结构使其成为间叶组织肿瘤（软骨瘤和软骨肉瘤）的好发部位。间叶组织肿瘤谱可从软骨瘤、软骨母细胞瘤到软骨肉瘤。在此，我们想分享一例喉部间叶组织肿瘤的诊治经验。该病例因其诊断罕见且存在不确定性而被报道。尽管这些肿瘤生长缓慢且早期即可出现症状，但在我们的病例中，患者在未接受确切治疗的情况下进行了支持性气管切开术并持续了两年多。我们通过侧咽切开术切除肿物并保留喉部来治疗该患者，随后在20天内成功拔除气管套管。
