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Functional optimisation in chondrosarcoma of the subglottis: a novel surgical approach
  1. Jessica Daniels1,
  2. Susanna Durant2 and
  3. Jay Goswamy2
  1. 1ENT, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK
  2. 2ENT, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK
  1. Correspondence to Mr Jay Goswamy; jay.goswamy{at}nhs.net

Abstract

Chondrosarcoma of the larynx is rare accounting for approximately 1% of laryngeal cancers; clear cell subtype is a rare variant. Given the low risk of occult nodal disease, they present a unique opportunity to maximise tissue preservation in order to optimise both recovery and long-term functional outcomes. We present a case of laryngeal clear cell chondrosarcoma causing critical airway obstruction. An emergency tracheostomy was performed and mapping biopsies were taken. The tumour originated from the cricoid and extended into both arytenoid superstructures precluding cricotracheal resection. A modified narrow-field laryngectomy was performed, preserving all pharyngeal mucosa and neurovascularly intact infrahyoids. Organ preservation surgery is preferred in the management of laryngeal chondrosarcoma. If laryngectomy is required, the surgeon must ensure that all uninvolved, functional tissue is preserved carefully to improve swallow and voice outcomes postoperatively. We describe a novel technique used to achieve this outcome.

  • ear
  • nose and throat
  • oncology

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Footnotes

  • Contributors JD was responsible for case selection, drafting and revising the manuscript. SD was responsible for providing the patient reported outcome measures and drafting the manuscript. JG was responsible was the consultant in charge of the patient’s care and for drafting and revising the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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