Childhood Laryngeal Rhabdomyosarcoma Causing Acute Airway Obstruction

摘要

A 17-year-old boy was urgently referred to the ENT Department of Pecs University with a 2-week history of inspiratory stridor, irritative cough, and respiratory distress. Flexible nasal endoscopy revealed a papilloma-like subglottic growth almost totally obstructing the laryngotracheal lumen (Figure I). During an urgent microlaryngoscopy, the tumor mass was resected endolaryngeally with a CO laser, and the tumor bed was vaporized with a KTP laser until the skeleton of the arytenoid cartilage restored patent airways without the need for a tracheostomy. Histology revealed botryoid rhabdomyosarcoma (BRMS; Figure 2).