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Case Series
1 Faculty of Medicine, Dalhousie University, Halifax, NS, Canada
2 MD, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada
3 MD, FRCPC, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada
4 MD, MPH, FRCSC, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada
5 MD, FRCSC, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada
6 MD, FRCSC, FACS, Division of Otolaryngology–Head and Neck Surgery, Dalhousie University, Halifax, NS, Canada
Address correspondence to:
Jenna MacDonald
Faculty of Medicine, Dalhousie University, 1459 Oxford Street, Halifax, NS, B3H 4R2,
Canada
Message to Corresponding Author
Article ID: 101138Z01JM2020
Introduction: Subglottic chondrosarcoma (SGC) is a rare entity that is traditionally treated with open resection. We detail two cases treated with CO2 transoral laser microsurgery (TLM) and present a literature review of minimally invasive approaches to this disease. Retrospective chart review and search of English language literature are important methods of data collection.
Case Series: Two patients were identified. Both presented with worsening dyspnea and stridor. One patient had intermediate grade disease and the other had low grade disease. Both patients were successfully treated with TLM and remain disease free at 42 and 17 months respectively with good voice and functional outcomes.
Conclusion: We present two cases of SGC treated with curative intent minimally invasive TLM. In both cases, there is no evidence of disease recurrence or functional limitation at follow-up. These findings are in line with the favorable oncological and functional outcomes demonstrated in the literature describing SGC treatment with TLM.
Keywords: Chondrosarcoma, Conservative surgery, Larynx, Subglottic, Transoral laser microsurgery
Jenna MacDonald - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
David Forner - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Martin Bullock - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Matthew Rigby - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Martin Corsten - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jonathan Trites - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
S Mark Taylor - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Jenna MacDonald et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.