Korean J Otorhinolaryngol-Head Neck Surg.  2015 Jun;58(6):438-442. 10.3342/kjorl-hns.2015.58.6.438.

A Case of Neurilemmoma of the Larynx Excised via Trans-Cricothyroid Membrane Approach without Tracheostomy

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea. jgcho@korea.ac.kr

Abstract

Neurilemmoma of the head and neck is not rare in parapharynx, but rare in the larynx. The treatment of choice in neurilemmoma of the larynx is a complete surgical resection. A small size lesion can be removed via an endoscopic approach. For a large size lesion, an external approach, such as the median or lateral thyrotomy, or pharyngotomy, can be more useful. These surgical methods often require preliminary tracheostomy to secure the airway. Through a case of neurilemmoma of the larynx, we present this disease and the treatment course of a patient, who has been successfully treated by surgical excision via trans-cricothyroid membrane approach without tracheostomy. Furthermore, we discuss its symptoms, physical examinations, microscopic features and other options of treatment for laryngeal schwannoma through literature reviews.

Keyword

Cricothyroid membrane; Laryngeal neoplasm; Neurilemmoma; Surgery

MeSH Terms

Head
Humans
Laryngeal Neoplasms
Larynx*
Membranes*
Neck
Neurilemmoma*
Physical Examination
Tracheostomy*
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