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Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
Case report: A case report on surgical management of laryngeal paraganglioma
Melat Teklegiorgis Biru1, Bisrat Getachew Yihun1, Mezigebu Yaregal Hailu1
1Department of Otolaryngology-Head and Neck Surgery, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Introduction:
Laryngeal paragangliomas are rare neoplasms originating from neuroendocrine cells within the laryngeal paraganglia.
Case Presentation:
A 65-year-old woman presented with two years of hoarseness, progressing to dysphagia over the past year, and two months of dyspnea. Laryngoscopy showed a supraglottic mass extending into the right pyriform sinus. Head and neck CT scan revealed a 2 × 3 cm mass, suggestive of laryngeal paraganglioma. Following a discussion of options, she underwent tracheostomy, lateral pharyngotomy and mass excision. Post-operatively, she was asymptomatic. Histopathology confirmed the diagnosis of paraganglioma. The patient was discharged and being monitored regularly. This report follows the SCARE criteria guidelines.
Clinical Discussion:
Paragangliomas, a slow-growing, benign tumor originating from paraganglia, is a very rare occurrence in the larynx. It typically presents with hoarseness of voice, difficulty of breathing, and difficulty of swallowing. Early diagnosis and surgical intervention are crucial for optimal outcomes.
Conclusion:
Laryngeal paraganglioma is a very rare condition. The primary therapeutic option for paraganglioms is complete surgical excision.
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