显微支撑喉镜下摘除喉杓区神经鞘瘤2例  

Laryngeal interarytenoid neurilemmoma excised via microlaryngeal endoscopy:two case reports

作　　者：沈毅[1] 成立新[1] 唐鸣[1] 叶栋[1] 

机构地区：[1]宁波市医疗中心李惠利医院耳鼻咽喉头颈外科,浙江宁波315040

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第23期2091-2092,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：浙江省自然科学基金一般项目(No:LY15H130003)

摘　　要：1病例报告例1女,27岁,因＂声嘶4年、加重1个月＂入院。患者4年前因过度发声后出现声嘶,无痰中带血及呼吸困难,期间未曾到医院诊治。近1个月来患者感觉声嘶加重、发声含糊,并伴有咽喉异物感及轻度咽痛,无发热、呼吸及进食困难等症状。于2014年5月来我院门诊行喉镜检查示：右侧杓状软骨处有类圆形新生物,表面光滑,累及杓间区,并向内遮盖右侧声带,左侧声带未见异常（图1a）,以＂喉杓区新生物,性质待定＂收住入院。Laryngeal interarytenoid neurilemmomas（LIN）is a benign encapsulated tumor originating from the schwann cells lining nerve fibers.Even though LINs are extremely rare in incidence,they could present with potential threat to the airway and thus requiring prompt diagnosis and treatment.Here,we report two cases of LINs.Both patients underwent excision of the tumor via microlaryngeal endoscopic procedures and recovered well postoperatively without complications.No recurrence was observed postoperatively on routine follow-up after 14 months.

关 键 词：神经鞘瘤 喉镜 外科手术 

分 类 号：R739.65[医药卫生—肿瘤]