title: Management of pediatric airway granular cell tumor: role of laryngotracheal reconstruction.
abstract: OBJECTIVE
  To discuss the role of laryngotracheal reconstruction (LTR) in granular cell tumor (GCT) and to highlight the importance and seriousness of GCT in pediatric airway cases.
  
  
  METHODS
  A historical literature review was performed and a GCT case from the University of Miami Pediatric Otolaryngology Clinic is presented to highlight the role of LTR in the treatment of GCT.
  
  
  RESULTS
  A case of a GCT of the laryngotracheal airway is reported and the management is discussed. Histological discussion and a review of the literature are included regarding GCT. This case is the third reported in the English literature of two synchronous GCT lesions of the upper airway repaired with a laryngotracheal reconstruction.
  
  
  CONCLUSIONS
  In the authors' experience once conservative management consisting of endoscopic debulking has failed the treatment of choice for GCTs of the pediatric airway that are unresectable is a single stage laryngotracheal reconstruction with negative frozen section pathology to assure total wide local excision.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Miller School of Medicine University of Miami, Miami, FL, USA.
authors.forename: Francisco G
authors.initials: FG
authors.lastname: Pernas
authors.forename: Ramzi T
authors.initials: RT
authors.lastname: Younis
authors.forename: David A
authors.initials: DA
authors.lastname: Lehman
authors.forename: Philip G
authors.initials: PG
authors.lastname: Robinson
mesh_terms: D001193:Arytenoid Cartilage / Q000601:surgery; D001999:Bronchoscopy; D002356:Cartilage / Q000637:transplantation; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D016586:Granular Cell Tumor / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal; D007821:Laryngeal Muscles / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007828:Laryngoscopy; D019651:Plastic Surgery Procedures / Q000379:methods*; D014134:Tracheal Neoplasms / Q000601:surgery*; D014827:Vocal Cords / Q000601:surgery