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- Title
Malignant Immature Teratoma of the Larynx and Trachea with Functional Osteocutaneous Free Flap Reconstruction.
- Authors
Al-Khudari, Samer; Sharma, Saurabh; Stapp, Robert; Simoff, Michael J.; Ghanem, Tamer A.
- Abstract
Objective: To present a case of malignant immature teratoma of the larynx and trachea managed by non-circumferential cricotracheal resection and reconstruction with an osteocutaneous radial forearm free flap. Study Design: Case report and literature review. Methods: Literature review of tracheal teratoma in adults and methods for partial cricotracheal reconstruction with discussion of a recent representative case within our tertiary health care system. Results: We present the case of a 27 year old male who presented with new onset stridor found to have a 4 cm mass obstructing his subglottis and trachea diagnosed as a malignant immature teratoma. This tumor was locally aggressive with extension into the trachea, subglottis, thyroid gland, and recurrent laryngeal nerve. He subsequently underwent non-circumferential cricotracheal resection including 6cm of trachea, central neck dissection, hemithyroidectomy, recurrent laryngeal nerve sacrifice, and reconstruction with an osteocutaneous radial forearm flap. Postoperatively the patient has been able to cap his tracheostomy and have near normal quality speech. Conclusions: Cervical teratomas are rarely encountered in adults. This represents the first reported case of a malignant immature teratoma with involvement of the larynx and trachea. We also present a novel technique at cricotracheal reconstruction using an osteocutaneous radial forearm free flap avoiding a laryngectomy.
- Subjects
TERATOMA; LARYNX; TRACHEA; SURGICAL excision; MEDICAL care
- Publication
Laryngoscope, 2011, Vol 121, Issue S4, pS86
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.21956