A Case of Laryngeal Neurofibroma with Sleep Obstructive Apnea.
10.7581/pard.2011.21.2.131
- Author:
Ju Hyun KIM
1
;
Hoon KO
;
Ju Hee SEO
;
Hyung Young KIM
;
Jin Ho YU
;
Soo Jong HONG
Author Information
1. Department of Pediatrics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sjhong@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Neurofibroma;
Neurofibromatosis;
Larynx;
Obstructive airway symptoms
- MeSH:
Apnea;
Cafe-au-Lait Spots;
Deglutition Disorders;
Dyspnea;
Hoarseness;
Humans;
Larynx;
Magnetic Resonance Imaging;
Neurofibroma;
Neurofibromatoses;
Neurofibromatosis 1;
Preschool Child;
Recurrence;
Respiratory Sounds;
Sleep Apnea, Obstructive;
Tracheostomy
- From:Pediatric Allergy and Respiratory Disease
2011;21(2):131-136
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Most patients with neurofibromas suffer from neurofibromatosis type 1 (von Recklinghausen's disease), which is characterized by cafe-au-lait spots and cutaneous neurofibromas. Neurofibromas in the laryngeal area are extremely rare. Most patients with a laryngeal neurofibroma present with dyspnea, dysphagia, stridor, or hoarseness, depending on the location and size of the tumor. We present a case of a laryngeal neurofibroma in a boy with neurofibromatosis type 1. A 30-month-old boy with neurofibromatosis presented to our hospital with respiratory difficulty and obstructive sleep apnea. Magnetic resonance imaging demonstrated a round mass over the left carotid space, and its location made surgical resection impossible. Hence, tracheostomy was performed to maintain airway patency. The patient's symptoms improved after tracheostomy. Long-term follow-up is essential owing to the possibility of recurrence. The patient has thus far shown no obstructive airway symptoms for one year after closure of the tracheostomy.
