PDF(Pubmed)
Abstract：
Schwannoma in larynx is a rare presentaion. Laryngeal schwannomas are characterstically slow growing benign tumour usually arising from false cord and aryepiglottic fold with globus sensation being the most common presentation. Seldom it can present as stridor which need immediate intervention for survival of the patient. We present a case of 53 year female who presented with stridor at emergency and emergency tracheostomy was done. This patient had a history of dysphagia to solid food, hoarseness of voice and symptoms of aspirations. 70 degree rigid endoscopy and CEMRI of neck was performed to see the extent of the laryngeal lesion causing stridor. Tumor was excised completely by external transcervical approach. Histopathological reports suggested this tumor as schwannoma. Large obstructive laryngeal schwannoma though a unusual presentation but with immediate tracheostomy, proper diagnostic work up and precise surgical approach can give excellent recovery and post operative outcome for the patient.
摘要：
喉部神经鞘瘤是一种罕见的表现。喉神经鞘瘤是典型的缓慢生长的良性肿瘤，通常由假索和会厌褶皱引起，球形感是最常见的表现。很少会出现喘鸣，需要立即干预才能使患者存活。我们介绍了一例53岁的女性，她在紧急情况下出现喘鸣，并进行了紧急气管造口术。该患者有吞咽困难至固体食物的病史，声音嘶哑和愿望的症状。进行了70度刚性内窥镜检查和颈部CEMRI，以观察引起喘鸣的喉部病变的程度。通过外部经宫颈入路完全切除肿瘤。组织病理学报告提示该肿瘤为神经鞘瘤。巨大的阻塞性喉神经鞘瘤虽然不常见，但立即进行气管造口术，正确的诊断工作和精确的手术方法可以为患者提供出色的恢复和术后结果。
