Transoral Laser Microsurgical Excision of a Laryngeal Schwannoma Located in the Paraglottic Space

Laryngoscope. 2021 Dec;131(12):2729-2731. doi: 10.1002/lary.29624. Epub 2021 May 20.

Abstract

Objectives/hypothesis: To report the first case of transoral excision of a paraglottic laryngeal schwannoma.

Methods: Case report.

Results: Laryngeal schwannomas are rare tumors, with approximately 75 cases reported to date worldwide. Most cases involve superficial supraglottic tumors excised transorally, and some have been found in deeper compartments and treated using transcervical approaches. This report describes the first excision of a schwannoma of the paraglottic space via endoscopic laser laryngotomy. The procedure allowed return to normal function, without recurrence within 8 months, after which the patient was lost to follow-up.

Conclusions: Transoral excision of benign paraglottic tumors is safe and feasible.

Level of evidence: NA Laryngoscope, 131:2729-2731, 2021.

Keywords: Schwannoma; larynx; neurilemmoma; paraglottic space; transoral laser microsurgery.

Publication types

  • Case Reports

MeSH terms

  • Epiglottis / pathology
  • Epiglottis / surgery
  • Humans
  • Laryngeal Neoplasms / diagnosis
  • Laryngeal Neoplasms / pathology
  • Laryngeal Neoplasms / surgery*
  • Male
  • Middle Aged
  • Natural Orifice Endoscopic Surgery / methods*
  • Neurilemmoma / diagnosis
  • Neurilemmoma / pathology
  • Neurilemmoma / surgery*
  • Treatment Outcome