The Journal of Laryngology & Otology

Short Communications

Endoscopic resection of low grade, subglottic chondrosarcoma

Y Oestreicher-Kedema1 c1, T G Draya2 and E J Damrosea1

a1 Department of Otolaryngology, Head and Neck Surgery, Stanford University School of Medicine, California, USA

a2 Department of Otolaryngology, Head and Neck Surgery, Kaiser Permanente Medical Center, Santa Clara, California, USA

Abstract

Introduction: This paper evaluates the feasibility of transoral, endoscopic resection of macroscopically localised, low grade, subglottic chondrosarcoma.

Method: Retrospective case study including patients diagnosed with low grade, subglottic laryngeal chondrosarcoma. Tumours were resected endoscopically via direct laryngoscopy with microlaryngeal technique, under jet ventilation. The post-operative course, vocal fold function, airway patency and oncological results were evaluated.

Results: Two male patients aged 49 and 60 years underwent endoscopic, translaryngeal, en bloc resection of low grade chondrosarcoma of the cricoid cartilage. Extubation was performed immediately after surgery. Neither patient required tracheostomy or developed subglottic stenosis. No tumour recurrence was noted after an average follow up of 10.5 months. Voice quality was stable and dyspnoea improved.

Summary: Transoral, endoscopic resection of low grade, subglottic chondrosarcoma is a viable technique with good functional outcomes. Extensive resection of subglottic disease is possible, which may afford patients an alternative to total laryngectomy.

(Accepted February 09 2009)

(Online publication July 01 2009)

Correspondence:

c1 Address for correspondence: Dr Yael Oestreicher-Kedem, Department of Otolaryngology, Head and Neck Surgery, Stanford Hospital and Clinics, 801 Welch Road, Stanford, CA 94305, USA. Fax: +1 650 725 8502 E-mail: ykedem@ohns.stanford.edu

Footnotes

Presented as a poster at the 2008 Combined Spring Meeting of the American Academy of Otolaryngology Head and Neck Surgery, May, 1–4 2008, Orlando, Florida, USA.

Dr Y Oesteicher-Kedem takes responsibility for the integrity of the content of the paper.

Competing interests: None declared