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J Korean Soc Laryngol Phoniatr Logop > Volume 28(1); 2017 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2017;28(1): 52-54.
doi: https://doi.org/10.22469/jkslp.2017.28.1.52
기관절개술과 후두절개술로 치료한 거대 성문하 용종 1예
홍용태, 여차동, 홍기환
전북대학교 의과대학 이비인후-두경부외과학교실
Huge Subglottic Polyp Treated with Tracheotomy and Laryngofissure
Yong Tae Hong, Cha Dong Yeo, Ki Hwan Hong
Department of Otolaryngology-HNS, Chonbuk National University, Medical School, Chonju, Korea
Correspondence  Ki Hwan Hong ,Tel: (063) 250-1990, Fax: (063) 250-1986, Email: khhong@chonbuk.ac.kr
Received: 17 April 2017; Revised: May 8, 2017   Accepted: 2 June 2017.  Published online: 30 June 2017.
ABSTRACT
Vocal polyps are benign laryngeal lesions which arise from the Reinke’s space abd hoarseness is the most common symptom. However, airway compromised is rarely presented in the vocal polyp. A rare case of large subglottic polyp causing dyspnea is reported. Tracheostomy was performed under local anesthesia and then the mass was resected under general anesthesia using a laryngofissure approach. The dyspnea and hoarseness disappeared after surgery immediately. The histopathological findings indicated a diagnosis of vocal cord polyp with chronic inflammatiuon. We consider that tracheostomy is the safest and most useful procedure to guarantee the upper airway in cases of large vocal polyp showing dyspnea. We hereby report a case of huge subglottic polyp in which a tracheostomy and laryngofissure was required for removing the subglottic mass successfully.
KEY WORDS: Vocal polypDyspneaTracheostomy
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