Laryngeal paraganglioma: an endoscopic diode-laser-assisted surgical approach: a case report.
Laryngeal paraganglioma is a rare vascular neuroendocrine benign tumour. Surgery is the standard treatment. The pre-operative gold standard is Magnetic Resonance Imaging with Gadolinum contrast. Computed tomography scans and angiography are also useful in making the diagnosis of paraganglioma before surgical intervention. A case of a large supraglottic paraganglioma is described. Complete excision of the tumour was achieved using microlaryngoscopical-laser surgical resection. No severe complications were observed. The patient was discharged from hospital without any complaints on the fourth post-operative day and she was disease-free 36 months after surgery. The effectiveness of this conservative endoscopic surgical procedure compared to the external approaches is discussed and it can be concluded that the endoscopic diode-laser resection of even extended laryngeal paraganglioma provides a good operative field and is a safe and effective technique.
Capolunghi
B
B
Department of Otorhynolaryngology, "Mellino Mellini" Hospital, Iseo BS, Italy. basilioc@tiscali.it
Bertolini
G
G
Grillo della Berta
L
L
Tinelli
N
N
Cascio
F
F
Bertoletti
F
F
D000792:Angiography; D002245:Carbon Dioxide; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D007828:Laryngoscopy; D053685:Laser Therapy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010235:Paraganglioma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D002245:Carbon Dioxide