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Case Reports in Medicine
Volume 2012, Article ID 616913, 4 pages
http://dx.doi.org/10.1155/2012/616913
Case Report

Acute Respiratory Distress in Patient with Laryngeal Schwannoma

1Department of Otorhinolaryngology, University of Pavia, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy
2Post Graduation Program of Oncology, Faculty of Medicine, University of Sao Paulo (USP), 01246-000 São Paulo, SP, Brazil
3Service of Pathology, University of Pavia, IRCCS Policlinico S. Matteo Foundation, Pavia, Italy

Received 1 March 2012; Accepted 10 April 2012

Academic Editor: Niranjan Kissoon

Copyright © 2012 Laura Mannarini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Schwannoma is a neurogenic benign tumour arising from the proliferation of Schwann cells present in the peripheral nerve sheath of myelinated nerves. This proliferation can hypothetically appear in every anatomic region of the human body, but the nerve sheath tumors rarely occur within the larynx. In this paper the authors discuss the case of a 74-year-old female who presented to Emergency Unit (EU) for an important acute respiratory distress. Airway flexible endoscopy revealed a bulky mass of the aryepiglottic fold measuring 3.5 cm in diameter. The patient underwent tracheotomy and a single-step surgical excision treatment of the mass which was recognized as a schwannoma at pathological examination. Tracheotomy was closed 2 weeks postoperatively. After 18 months of followup, the patient is alive and free of disease and her voice had improved markedly.