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Chronic Latent Invasive Fungal Laryngeal Cartilage Necrosis With Bilateral Vocal Cord Fixation as the Initial Symptom
Shuang Li1, Chengbi Xu, Jiaqi Luo
1Department of Otolaryngology-Head and Neck Surgery, The Second Hospital of Jilin University, Changchun, P.R. China.
Purpose:
Invasive fungal infections are a serious threat to immunocompromised individuals, with laryngeal involvement being rare and often presenting with atypical symptoms that complicate early diagnosis.
Methods:
The authors report a case of chronic invasive fungal laryngeal cartilage necrosis, initially manifesting as bilateral vocal cord fixation.
Results:
Pathology suggested Mucorales infection. Postoperative recovery included resolution of both laryngeal and pulmonary issues after a total laryngectomy. There has been no recurrence at follow-up visits.
Conclusion:
Early diagnosis, aggressive surgical debridement, and full-course antifungal treatment are essential for improving outcomes in extrapulmonary fungal infections.
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