Pediatric Laryngeal Malignancies: Current Management Protocols and Review of Literature

JOURNAL TITLE: International Journal of Phonosurgery & Laryngology

Author
1. A Nanjundappa
2. Sudhir M Naik
3. H Srihariprasad
4. Purshottam Chavan
5. Rajshekar Halkud
6. Sumit Gupta
ISSN
2230-7508
DOI
10.5005/jp-journals-10023-1039
Volume
2
Issue
2
Publishing Year
2012
Pages
4
Author Affiliations
    1. Leicester, UK
    2. New Delhi, India
    3. Skinnovation Clinics, GNH Excel Medical Center, Sir Ganga Ram Hospital, Northern Central Railway Hospital, New Delhi, India
    4. Sir Ganga Ram Hospital, New Delhi, India
    1. Department of Head and Neck Oncosurgery Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck Oncosurgery Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
  • Article keywords

    Abstract

    Background

    Malignant lesions of the larynx are very rare in pediatric population as it accounts for less than 0.1% of all head and neck malignancies in childhood. Apart from human papilloma virus infection, adult risk factors like laryngeal papilloma, gastroesophageal reflux, human immunodeficiency virus (HIV) infection, immunosuppressive therapy, smoking, alcohol abuse, poor oral hygiene and a family history of cancer also play a role in pediatric laryngeal cancers.

    Case report

    A 14-year-old boy presented to us with hoarseness of voice since 8 months. He was treated for laryngitis and subacute bacterial laryngitis and later referred to us. He complained of mild dysphagia and the hoarseness of voice. An ulceroproliferative lesion in the left arytenoids and aryepiglottic fold was seen with retroarytenoid extension in the left arytenoids and the left hemilarynx was fixed. The left level II node was enlarged 2 × 2 cm and a staged as carcinoma supraglottis T3/ 4N1Mx. The node aspiration biopsy revealed metastatic squamous cell carcinoma.

    Intervention

    The case was posted for wide field laryngectomy, under ASA grade II. The direct laryngoscopic examination revealed the extent of the tumor, and the frozen sections of biopsy revealed squamous cell carcinoma of the larynx. The surgery was done with the classical Gluck Sorenson incision and the patient was given postoperative radiotherapy.

    Conclusion

    Pediatric laryngeal cancers are very rare and studies about the etiology, biology of the tumor, diagnostic and management protocols are not standardized. Formulating a protocol for childhood laryngeal cancers management which includes early diagnosis and accurate treatment is essential.

    How to cite this article

    Naik SM, Nanjundappa A, Srihariprasad H, Halkud R, Chavan P, Gupta S. Pediatric Laryngeal Malignancies: Current Management Protocols and Review of Literature. Int J Phonosurg Laryngol 2012;2(2):62-65.

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