Isolated paraglottic neurofibroma; lateral thyrotomy approach: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20182724Keywords:
Neurofibroma, Lateral thyrotomy, ParaglotticAbstract
Isolated neurofibromas are rare tumours of the paraglottic space. A 59 year old lady presented with progressive hoarseness for 5 years. Examination revealed a smooth submucosal globular mass in the glottosupraglottic region on the left side. After confirming findings on a contrast CT scan lateral thyrotomy approach was employed to excise the tumour in toto. Histopathology revealed a neurofibroma. Further workup to exclude neurofibromatosis (NF1) was done. Isolated laryngeal neurofibromas present a challenge to surgeons for providing complete excision of tumour while giving a good voice quality and lateral thyrotomy approach is the ideal approach for satisfying both these parameters.References
Jones SR, Myers EN, Barnes L. Benign neoplasms of the larynx. Otolaryngology Clin North Am. 1984;17:151–78.
Liu J, Wong C, Lim F, Kanagalingam J. Glottic neurofibroma in an elderly patient: a case report. J Voice. 2013;27:644-6.
Chang-Lo M. Laryngeal involvement in von Recklinghausen’s disease: a case report and review of the literature. Laryngoscope. 1977;87:435–72.
Mobashir MK, Mohamed AES, El-Anwar MW, El Sayed AE, Fouad MA. Massive Plexiform Neurofibroma of the Neck and Larynx. Int Arch Otorhinolaryngol. 2015;19(4):349-53.
Nakahira M, Nakatani H, Sawada S, Matsumoto S. Neurofibroma of the larynx in neurofibromatosis: preoperative computed tomography and magnetic resonance imaging. Arch Otolaryngol Head Neck Surg. 2001;127:325-8.
Sidman J, Wood RE, Poole M, Postma DS. Management of plexiform neurofibroma of larynx. Ann Otol Rhinol Laryngol. 1987;96:53-5.
Wilcox TO, Rosenberg SI, Handler SD. Laryngeal involvement in neurofibromatosis. Paediatr Radiol 1996;26:488-92.
Hisa Y, Tatemoto K, DeJima K, Nishiyama Y, Masuda Y. Laser vestibulectomy for endolaryngeal neurofibroma. Otolaryngol Head Neck Surg. 1995;113:459-61.
Packer RJ, Gutmann DH, Rubenstein A, Viskochil D, Zimmerman RA, Vezina G, et al. Plexiform neurofibromas in NF1: Toward biological based therapy. Neurology. 2002;58:1461-70.
Freidrich RE, Korf B, Funsterer C, Mautner VF. Growth type plexiform neurofibromas in NF1 determined on magnetic resonance images. Anticancer Res. 2003;23:949-52.
