鼻内镜辅助低温等离子手术治疗喉神经鞘瘤1例

Clinical analysis of nasal endoscopy assisted by low-temperature plasma surgery for laryngeal schwannoma: a case report

1 病例报告患者,女,68岁,以进行性加重的吞咽梗阻感为主诉,伴有较明显的咽部异物感,吞咽时加重,进流食时出现饮水呛咳,无明显声嘶,无呼吸困难、咽干、咽痒、咽痛,偶有刺激性咳嗽,无咳痰及痰中带血,无反酸嗳气,无消瘦乏力。喉镜检查(图1):左侧杓会厌襞接近披裂处可见一近球形肿物,表面黏膜光滑,2.1 cm×1.5 cm×2.0 cm大小,边界清楚,似带蒂,肿物体积较大挤压至左侧梨状窝内,将左侧杓会厌襞向内推移位.

Laryngeal schwannoma is a rare clinical benign neurogenic tumor that originated in the larynx. Large laryngeal schwannoma can cause foreign body sensation in the pharynx and swallowing obstruction. Clinical symptoms includehoarseness and dyspnea. The enhanced CT scan illustrates that the localized mass is isolated, with clear boundary with the surrounding tissues in the larynx. A 68-year-old woman presented with a swallowing discorder, endoscopy demonstrated a smooth mass of the left aryepiglottic fold.The patient then underwent endoscopy surgey supported by the low temperature plasma instead of an open incision.