J Korean Soc Laryngol Phoniatr Logoped.  2017 Jun;28(1):52-54. 10.0000/jkslpl.2017.28.1.52.

Huge Subglottic Polyp Treated with Tracheotomy and Laryngofissure

Affiliations
  • 1Department of Otolaryngology-HNS, Chonbuk National University, Medical School, Chonju, Korea. khhong@chonbuk.ac.kr

Abstract

Vocal polyps are benign laryngeal lesions which arise from the Reinke's space abd hoarseness is the most common symptom. However, airway compromised is rarely presented in the vocal polyp. A rare case of large subglottic polyp causing dyspnea is reported. Tracheostomy was performed under local anesthesia and then the mass was resected under general anesthesia using a laryngofissure approach. The dyspnea and hoarseness disappeared after surgery immediately. The histopathological findings indicated a diagnosis of vocal cord polyp with chronic inflammatiuon. We consider that tracheostomy is the safest and most useful procedure to guarantee the upper airway in cases of large vocal polyp showing dyspnea. We hereby report a case of huge subglottic polyp in which a tracheostomy and laryngofissure was required for removing the subglottic mass successfully.

Keyword

Vocal polyp; Dyspnea; Tracheostomy

MeSH Terms

Anesthesia, General
Anesthesia, Local
Diagnosis
Dyspnea
Hoarseness
Polyps*
Tracheostomy
Tracheotomy*
Vocal Cords
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