CASE REPORT   

Otorinolaringologia 2019 December;69(4):204-8

DOI: 10.23736/S0392-6621.19.02214-8

Copyright © 2019 EDIZIONI MINERVA MEDICA

lingua: Inglese

Multidisciplinary management of a giant and obstructive laryngeal myxoma

Massimo MESOLELLA ¹ ✉, Gerardo PETRUZZI ¹, Francesco A. SALZANO ², Santina LAMARCA ¹, Miriam CIERI ³, Daniela RUSSO ³, Maurizio IENGO ¹, Massimo MASCOLO ³

¹ Section of Ear Nose and Throat, Department of Neurosciences, Federico II University, Naples, Italy; ² Department of Medicine and Surgery, Scuola Medica Salernitana University, Salerno, Italy; ³ Section of Pathology, Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy

Myxomas are benign lesions which can arise in any anatomic location but are mainly found in the heart. Exceptionally they interest the head and neck district, where the most frequently involved sites are the mandible and the maxilla. There are only few described cases of myxomas of the larynx. Here we report a new case of a laryngeal myxoma of the left true vocal fold, the second occurred in a female patient, presenting with severe dyspnea, dysphonia and dysphagia. We describe this case for two reasons. First is because it presents intubation which was safely treated through careful planning. A meticulous treatment planning by surgeon and anaesthetist was made mutually carried out prior to microlaryngoscopic excision in case di large vocal cord polyps causing severe airway obstruction. The second reason is because a laryngeal myxoma is a very rare lesion. We provide a review of the literature, focusing on possible risk factors, and discuss the differential diagnosis and the best treatment options in laryngeal myxoma.

KEY WORDS: Myxoma; Larynx; Gastrointestinal stromal tumors; Airway management