대한후두음성언어의학회지 (Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics)
- 제19권1호
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- Pages.47-53
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- 2008
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- 2508-268X(pISSN)
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- 2508-5603(eISSN)
양성 종괴로 나타나는 후두 질환
Unusual Benign Neoplasms of the Larynx
- 유명훈 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
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김상윤
(울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
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최승호
(울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
- 노종렬 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
- 남순열 (울산대학교 의과대학 서울아산병원 이비인후과학교실)
- Yoo, Myung-Hoon (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
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Kim, Sang-Yoon
(Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
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Choi, Seung-Ho
(Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
- Roh, Jong-Lyel (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
- Nam, Soon-Yuhl (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine)
- 발행 : 2008.06.15
초록
Background and Objectives : Benign neoplasms of the larynx are rare, and papillomas account for approximately 90% of these neoplasms. Other benign neoplasms of the larynx are very rare and form a hetergenous group. We present clinical manifestations of unusual benign neoplasms based on our experiences and review of literatures. Materials and Method : We reviewed retrospectively the clinical records of 14 patients with benign neoplasms of the larynx, excluding papillomas, that were examined in our department during 11-year period from 1995 to 2006. Results : The presenting symptom was most commonly progressive dysphonia. Pathologic diagnosis revealed 5 cases of hemangioma, 3 granular cell tumor, 2 amyloidosis, 2 laryngocele, 1 schwannoma, 1 chondroma. Subsites of the neoplasms were 5 in true vocal cord, 3 in arytenoids, 2 in false vocal cord, 2 in supraglottis, and others were subglottis ; aryepiglottic fold. Treatment was surgical, by a external approach in 1 case of chondroma, and by laryngoscopic approach in other cases. In laryngoscopic approach, carbon dioxide laser was used in 10 cases. Postoperative course was satisfactory. Recurrence was encountered in I case of amyloidosis and revision operation was done 3 times. No recurrence was encountered in other cases. Conclusion : Uncommon benign neoplasms of the larynx require high index of suspicion and histological confirmation. Complete excision with an attempt to maintain normal structures generally results in cure.