Subglottic Schwannoma: A rare cause of dyspnea

A young woman with persistent cough, dysphonia, and progressive dyspnea for 6 months was referred to the pneumologist. Her pulmonary function tests revealed airway obstruction with increased airway resistance and hyperinflation, but with no response to bronchodilators. High resolution CT scan showe...

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Bibliographic Details
Main Authors: Joana Gonçalves, Jorge Miguéis, Ant´ónio Jorge Ferreira, Nuno Silva, Clara Silva, Ana Margarida Amorim, Luís Silva
Format: Article
Language:English
Published: Portuguese Society of Otolaryngology and Head and Neck Surgery 2021-09-01
Series:Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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Online Access:https://journalsporl.com/index.php/sporl/article/view/2898
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Summary:A young woman with persistent cough, dysphonia, and progressive dyspnea for 6 months was referred to the pneumologist. Her pulmonary function tests revealed airway obstruction with increased airway resistance and hyperinflation, but with no response to bronchodilators. High resolution CT scan showed a right-sided, lobulated, infraglottic lesion, reducing by 50 to 75% the airway lumen. Video-bronchoscopy confirmed the presence of two vascularized infraglottic lesions and biopsy was performed. Complete surgical excision was achieved via a combined technique (endolaryngeal and medial cervicotomy approaches). The histopathological diagnosis was laryngeal schwannoma. At 6 months follow-up, cough and hoarseness had resolved, and indirect laryngoscopy showed normal vocal cord mobility without tumor recurrence. 
ISSN:2184-6499