scholarly journals Head and Neck Myxoma Presenting as Isolated Laryngeal Polyp

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Smriti Panda ◽  
Rajeev Kumar ◽  
Vikram Raj Gopinath ◽  
Prem Sagar
Keyword(s):  
Differential Diagnosis ◽  
Head And Neck ◽  
Vocal Cord ◽  
Vocal Fold ◽  
Web Of Science ◽  
Anecdotal Evidence ◽  
Local Infiltration ◽  
Vocal Cord Polyp ◽  
History Of ◽  
Microlaryngeal Surgery

Myxoma is a benign tumour with a propensity for local infiltration and recurrence. Laryngeal myxoma presents as a submucosal polyp. Being an uncommon tumour and mimicking vocal cord polyp, only anecdotal evidence is available in the literature. The literature was reviewed from 1986 onwards using the keywords “myxoma” and “larynx.” The databases used were PubMed, Google Scholar, Scopus, and Web of Science. Along with this, we also report our case of vocal fold myxoma. We found a total of 19 studies reporting laryngeal myxoma. Laryngeal myxoma typically affects males in the 6th decade with a history of smoking. Unlike myxomas originating outside the larynx, recurrence is not widely described, and microlaryngeal surgery will usually suffice. Laryngeal myxomas should definitely be kept in the list of differential diagnosis when dealing with a benign-looking vocal fold lesion.

scholarly journals Autopolypectomy of a Vocal Cord Polyp

2018 ◽  
Vol 26 (2) ◽  
pp. 134-136
Author(s):  
Saud Ahmed ◽  
Altaf Hussain ◽  
Basharat Nadeem ◽  
Faroq Ali
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Histopathological Examination ◽  
Surgical Excision ◽  
Acute Cough ◽  
Unique Case ◽  
Vocal Cord Polyp ◽  
History Of ◽  
Microlaryngeal Surgery ◽  
The Right

Introduction Vocal cord polyps commonly occur in those with a history of vocal abuse. Patients with large lesions generally undergo microlaryngeal surgery under general anaesthesia. This unique case report highlights a strange scenario where the patient coughed out a fleshy mass during his morning walk and which was later confirmed as a vocal cord polyp.  Case Report A 62 year old male with a history of hoarseness of voice for 3 months presented to the ENT OPD holding a chunk of tissue which was apparently coughed out by him during his morning walk. After the incident, his symptoms had immediately improved. A videolaryngoscopy showed a congested spot on the right vocal cord being the probable site of origin of the lesion. On Histopathological examination, the tissue was reported as a vocal cord polyp.  The patient was managed conservatively but the lesion recurred at the same site after a month for which a microlaryngeal excision was performed. Discussion Vocal cord polyps are fairly common in ENT practice and usually present to the clinic with hoarseness of voice. Polyps that are small are usually managed conservatively by voice therapy alone whereas large polyps require surgical excision. This unique case report highlights a strange clinical scenario where the patient coughed out a large vocal cord polyp (Auto-polypectomy) during a bout of acute cough. This event saved him a surgery at the first instance, but eventually had a recurrence and had to undergo an excision under GA. 

scholarly journals Hemangioma of the uvula: the most frequent vascular tumor with a rare localization - Case report with literature review

2016 ◽  
Vol 22 (4) ◽  
pp. 212-216
Author(s):  
Alexandra Maiorean ◽  
Mariana Aschie ◽  
Anca Mitroi ◽  
Georgeta Camelia Cozaru ◽  
I. Poinareanu ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Head And Neck ◽  
Potential Risk ◽  
Vascular Tumor ◽  
Vascular Origin ◽  
Local Trauma ◽  
History Of

Abstract Hemangioma is the most common tumor of the vascular origin, benign, frequently observed in children, and with preference for head and neck, but rarely having a uvular origin. In this organ, it presents potential risk of local trauma, hemorrhage and it may produce great discomfort for the patient. In this article we present the cases of two patients (34 year-old and 44-year old) with uvular hemangiomas; patient 1 was admitted for dysphagia, salivation and choking and patient 2 was admitted for the swelling of the uvula, dysphagia, salivation and difficulty in speaking. They both presented a history of this symptoms, with acute episodes of dysphagia. They did not report bleeding, pain or fever. Hemangiomas were histopathologically confirmed, thus raising the awareness that hemangiomas are included in the differential diagnosis when a patient presents an elongated, swollen uvula or uvular masses.

scholarly journals Anesthetic Management for Laser Excision of Ball-Valving Laryngeal Masses

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Benjamin B. Bruins ◽  
Natasha Mirza ◽  
Ernest Gomez ◽  
Joshua H. Atkins
Keyword(s):  
Endotracheal Tube ◽  
Vocal Cord ◽  
Vocal Fold ◽  
Obese Woman ◽  
Anesthetic Management ◽  
Ball Valve ◽  
History Of ◽  
Laser Excision ◽  
Valve Lesion

A 47-year-old obese woman with GERD and COPD presents for CO2-laser excision of bilateral vocal fold masses. She had a history of progressive hoarseness and difficulty in breathing. Nasopharyngeal laryngoscopy revealed large, mobile, bilateral vocal cord polyps that demonstrated dynamic occlusion of the glottis. We describe the airway and anesthetic management of this patient with a topicalized C-MAC video laryngoscopic intubation using a 4.5 mm Xomed Laser Shield II endotracheal tube. We examine the challenges of anesthetic management unique to the combined circumstances of a ball-valve lesion and the need for a narrow-bore laser compatible endotracheal tube.

scholarly journals Outcome of Microlaryngeal Surgery for Vocal Fold Polyp on Quality of Voice

2017 ◽  
Vol 7 (1) ◽  
pp. 13-15
Author(s):  
Jayakumar R Menon ◽  
Manju E Issac ◽  
HS Sabari Nath ◽  
Ragitha Binukrishnan ◽  
Akhila Sebastian
Keyword(s):  
Vocal Fold ◽  
P Value ◽  
Vocal Cord Polyp ◽  
Number Of Patients ◽  
Quasi Experimental ◽  
The Mean ◽  
Quality Of Voice ◽  
Microlaryngeal Surgery ◽  
Self Reporting Questionnaire

ABSTRACT Aim To study the outcome of microlaryngeal surgery for vocal fold polyp on quality of voice with voice handicap index-10 (VHI-10). Objective Microlaryngeal surgery for vocal fold polyp will improve the quality of voice. Materials and methods This is a nonrandomized prospective study with a quasi-experimental design. A total of 36 patients presenting with vocal cord polyp and who underwent a microlaryngeal surgery for the same from March 2016 to August 2016 were included in the study. All the patients were given a self-reporting questionnaire consisting of 10 questions — VHI-10 — and asked to score it. The same questionnaire was given 6 weeks postmicrolaryngeal surgery to these patients and both scores were compared. Results The mean age of the study population was 44.67 ± 0.34 with the maximum number of patients in the age group 31 to 50. Out of the 36 patients, 27 were males and 9 females. A total of 22 (61%) patients had right-sided polyp and 14 (39%) had left-sided polyp. The majority of the patients were voice professionals, with the maximum number being that of teachers. The mean preoperative and postoperative VHI-10 was 30.36 ± 6.42 and 1.11 ± 1.76 respectively. The reduction in preoperative and postoperative scores gave a p-value of <0.05 at a confidence interval of 95%. How to cite this article Nath HSS, Menon JR, Issac ME, Binukrishnan R, Sebastian A. Outcome of Microlaryngeal Surgery for Vocal Fold Polyp on Quality of Voice. Int J Phonosurg Laryngol 2017;7(1):13-15.

A Hunsaker Mon-Jet tube trapped in the larynx

2011 ◽  
Vol 125 (11) ◽  
pp. 1204-1205 ◽  
Author(s):  
I Khan ◽  
M Shakeel ◽  
R Nagaraja ◽  
B Ram ◽  
A D Thomas
Keyword(s):  
Case Report ◽  
Vocal Cord ◽  
Airway Compromise ◽  
Ventilation Tube ◽  
Jet Ventilation ◽  
Successful Management ◽  
Vocal Cords ◽  
Vocal Cord Polyp ◽  
Microlaryngeal Surgery ◽  
Operating Surgeon

AbstractObjective:We report a unique complication arising from the use of a Hunsaker Mon-Jet ventilation tube during microlaryngeal surgery, and we briefly review the literature on the use of this tube for jet ventilation.Method:A case report on the safe and successful management of a potential airway compromise, and a brief literature review on using the Hunsaker Mon-Jet ventilation tube during microlaryngeal surgery.Case report:A 46-year-old woman was scheduled to undergo removal of a vocal cord polyp under general anaesthesia. However, the polyp became stuck in the basket of the Hunsaker tube during intubation. The polyp and the Hunsaker tube were removed safely after a microlaryngeal tube was passed beyond the vocal cords. To our knowledge, this complication has not previously been reported.Conclusion:This case highlights the potential risk of laryngeal growths, especially vocal cord polyps, becoming trapped in the Hunsaker tube during intubation. Both the anaesthetist and the operating surgeon should be aware of this possible complication and, more importantly, how to deal with such a problem.

scholarly journals Strategies and Controversies in the Treatment With Carbon Dioxide Laser of Laryngeal Hemangioma: A Case Series and Review of the Literature

2020 ◽  
pp. 014556132095219
Author(s):  
Massimo Mesolella ◽  
Salvatore Allosso ◽  
Gelsomina Mansueto ◽  
Mariano Fuggi ◽  
Gaetano Motta
Keyword(s):  
Carbon Dioxide ◽  
Head And Neck ◽  
Vocal Cord ◽  
Carbon Dioxide Laser ◽  
Case Series ◽  
Surgical Excision ◽  
Free Edge ◽  
Vascular Tumor ◽  
Vascular Lesion ◽  
Microlaryngeal Surgery

Introduction: The hemangioma is the most common vascular tumor, involving the head and neck in 60% of cases. It is rare in the larynx. In children, hemangiomas are more frequent on the subglottis, whereas in adults the most common site is the supraglottis. Laryngeal hemangioma with cavernous features isolated to the free edge of the vocal fold is a very rare clinical finding. We present 2 cases of glottic hemangioma. Both patients reported severe hoarseness. Cases: In the first patient, an extensive blue-purple mass was seen on the right vocal cord. The patient was posted for microlaryngeal surgery with carbon dioxide (CO2) laser. Second patient had a large, smooth, flesh-colored polypoid mass emanating from the left vocal cord. The patient was posted for microlaryngeal surgery. After 2 months, both patients showed a considerable voice improvement. Discussion: Vocal cord hemangiomas are very rare, and they usually cause problem in the voice of the patient. A vascular lesion that may mimic a hemangioma may sometimes result from an organizing hematoma following a hemorrhage on the vocal cords due to voice abuse. Laryngeal hemangiomas also need to be distinguished pathologically from polypoidal vascular granulation tissue that may be produced by laryngeal biopsy, intubation, or trauma. Indirect endoscopy is enough to diagnosis. No active treatment is advised for adult laryngeal hemangiomas unless the lesions are symptomatic or show a tendency to involve other parts. There is no uniformly accepted treatment of head and neck hemangiomas. Surgical excision with laser CO2 microlaryngoscopic techniques gives satisfactory results.

scholarly journals Pleomorphic Undifferentiated Sarcoma (Malignant Fibrous Histiocytoma) of True Vocal Fold: A Rare Laryngeal Malignancy

2020 ◽  
Vol 28 (1) ◽  
pp. 84-87
Author(s):  
Rohit Bhardwaj ◽  
Ankur Gupta ◽  
Sabarirajan Ponnusamy ◽  
Karthika Nathan
Keyword(s):  
Case Report ◽  
Head And Neck ◽  
Malignant Fibrous Histiocytoma ◽  
Vocal Fold ◽  
Fibrous Histiocytoma ◽  
Neck Region ◽  
Detailed Examination ◽  
Complete Excision ◽  
Undifferentiated Sarcoma ◽  
Microlaryngeal Surgery

Introduction Pleomorphic undifferentiated sarcoma also known as Malignant fibrous histiocytoma, is a malignanat tumour which commonly involves upper and lower extremities and the retroperitoneum. Only a few sporadic MFHs located in the head and neck have been reported in the literature. Rarely the tumor can involve larynx. Complete excision of the tumor is the standard treatment but post-operative chemotherapy and / or radiotherapy is also recommended in selected cases. Case Report We present a rare case report of pleomorphic undifferentiated sarcoma also known as malignanat fibrous histiocytoma of true vocal fold in a 65 years old male patient. The patient presented to us with complaints of change in voice for past 3 months. He also reported about his smoking habits for past 35 years. On detailed examination of head and neck region no palpable lymph nodes were detected. Oral and nasal cavity examination also did not reveal any pathology. On endoscopic laryngeal assessment a polypoidal mass was seen arising from posterior half of anterior third of left true vocal fold. The vocal fold mobility was found normal.We completely excised the tumor by microlaryngeal surgery. The histopathological and immunohistochemical examination of the excised tissue identified the tumor being a pleomorphic undifferentiated sarcoma which was positive for Vimentin, EMA and negative for CK, p63. Patient did not receive radiotherapy/ chemotherepy in postoperative period. Patient has been under follow-up for past 6 months and is disease free as of now. Discussion Mesenchymal malignancies of larynx are rare entities. Pleomorphic undifferentiated sarcoma also known as malignanat fibrous histiocytoma is one of such malignancy. The treatment consists of complete excision of the lesion. The need of post-operative radiotherapy and/ chemotherapy depends on the extent of disease.

scholarly journals Non-functioning parathyroid adenoma: a rare differential diagnosis for vocal-cord paralysis

2016 ◽  
Vol 98 (6) ◽  
pp. e94-e96 ◽  
Author(s):  
D Kamali ◽  
A Sharpe ◽  
S Nagarajan ◽  
W Elsaify
Keyword(s):  
Differential Diagnosis ◽  
Parathyroid Adenoma ◽  
Vocal Cord ◽  
Parathyroid Gland ◽  
Vocal Cord Paralysis ◽  
Vocal Cord Palsy ◽  
Rare Differential Diagnosis ◽  
History Of ◽  
Skeletal Bone ◽  
First Time

Introduction Adenomas of the parathyroid gland typically present with symptoms of hyperparathyroidism, manifested by fatigue, bone pain, abdominal pain, weakness, dyspepsia, nephrolithiasis and skeletal bone disease. Here, we describe, for the first time, a case of a non-functioning benign tumour of the parathyroid gland presenting as vocal-cord paralysis. Case History A 49-year-old male presented with a 10-week history of dysphonia and the feeling of having ‘something stuck in my throat’. History-taking elicited no other associated symptoms. Flexible nasal endoscopy demonstrated paralysis of the left vocal cord. Computed tomography of the neck revealed a cystic lesion, 18mm in diameter adjacent to the oesophagus. After more rigorous tests, a neck exploration, left hemithyroidectomy, excision of the left paratracheal mass and level-VI neck dissection was undertaken, without incident to the patient or surgical team. Histology was consistent with a parathyroid adenoma. Conclusions This case emphasises the importance of including adenomatous disease of the parathyroid gland in the differential diagnosis despite normal parathyroid status as a cause of vocal cord palsy.

Occult Laryngeal Pathology in a Community-Based Cohort

2001 ◽  
Vol 124 (4) ◽  
pp. 448-450 ◽  
Author(s):  
Todd R. Reulbach ◽  
Peter C. Belafsky ◽  
P. David Blalock ◽  
James A. Koufman ◽  
Gregory N. Postma
Keyword(s):  
Head And Neck ◽  
Vocal Fold ◽  
Laryngopharyngeal Reflux ◽  
Voice Disorders ◽  
Community Based ◽  
Laryngeal Pathology ◽  
History Of ◽  
The Mean ◽  
Over 40 Years ◽  
Laryngeal Examination

BACKGROUND: Little information is available regarding the prevalence of laryngeal pathology in adults. PURPOSE: To estimate the prevalence of occult laryngeal pathology in a community-based cohort of adults over 40 years of age. METHODS: One hundred consecutive volunteers over age 40 with no history of voice disorders were enrolled. All completed a self-administered laryngeal symptom questionnaire and underwent a comprehensive head and neck examination including transnasal fiberoptic laryngoscopy. RESULTS: The mean age of the cohort was 61 years. Vocal fold bowing (presbylaryngis) was present in 72% of the patients, and findings of laryngopharyngeal reflux were present in 64% of the cohort. In addition, other laryngeal pathology were identified in 21%. Only 12% had a completely normal laryngeal examination. CONCLUSIONS: Occult laryngeal pathology is very common in persons over 40. Findings suggestive of laryngopharyngeal reflux are present in 64%, and vocal fold bowing is present in 72% of persons over 40.

scholarly journals A Rare Case of Sessile Polypoidal Xanthoma of Vocal Cord

2012 ◽  
Vol 2 (2) ◽  
pp. 66-68
Author(s):  
Pankaj Shah ◽  
Ashish Katarkar ◽  
Datt Modh ◽  
Anil Kumar Jain ◽  
Sanyogita Jain ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Clinical Diagnosis ◽  
Rare Case ◽  
Sessile Polyp ◽  
Histopathological Findings ◽  
Anterior Aspect ◽  
Vocal Cord Polyp ◽  
Microlaryngeal Surgery

ABSTRACT We report a rare case of sessile polypoidal xanthoma of vocal cord in a 38-year-old female, presented with complaint of hoarseness of voice for 3 months. Hopkins telescopic examination showed a sessile polyp arising from the anterior aspect of laryngeal vocal cord. With clinical diagnosis of vocal cord polyp, microlaryngeal surgery was done and tissue was sent for histopathological and culture examination. Histopathological findings showed features of polypoidal xanthoma. Culture was negative. How to cite this article Jain AK, Jain S, Katarkar A, Alam N, Lakum N, Shah P, Modh D. A Rare Case of Sessile Polypoidal Xanthoma of Vocal Cord. Int J Phonosurg Laryngol 2012;2(2): 66-68.

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