Management of pediatric airway granular cell tumor: role of laryngotracheal reconstruction

Int J Pediatr Otorhinolaryngol. 2006 Jun;70(6):957-63. doi: 10.1016/j.ijporl.2005.12.018. Epub 2006 Feb 8.

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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Arytenoid Cartilage / surgery
  • Bronchoscopy
  • Cartilage / transplantation
  • Child
  • Female
  • Follow-Up Studies
  • Granular Cell Tumor / surgery*
  • Humans
  • Intubation, Intratracheal
  • Laryngeal Muscles / surgery
  • Laryngeal Neoplasms / surgery*
  • Laryngoscopy
  • Plastic Surgery Procedures / methods*
  • Tracheal Neoplasms / surgery*
  • Vocal Cords / surgery