Pediatric Subligamentous Cordectomy: Successful Voice Outcome Following Laryngeal Granular Cell Tumor Resection

Background: Laryngeal granular cell tumors (GCTs) are rare lesions, particularly in pediatric patients. We present a case of GCT of the right true vocal cord in a 12-year-old male. Methods: The electronic medical record was utilized to review the patient's clinical and surgical history. Results: A 12-year-old male presented with a 2-year history of worsening dysphonia and cough. Flexible laryngoscopy revealed a submucosal pedunculated mass of the right mid and anterior true vocal cord. Gross resection was performed. Final pathology confirmed a benign GCT; however, a positive margin was identified. A right subligamentous cordectomy was pursued for complete excision of the residual GCT. The patient achieved an excellent voice outcome. Conclusions: This case demonstrates that subligamentous cordectomy can be an effective treatment method for laryngeal GCT in pediatric patients. It also adds valuable data regarding pediatric GCT location and propensity for submucosal tumor spread.