Korean J Thorac Cardiovasc Surg.  1999 Oct;32(10):947-950.

Clinical Experience of Tracheal Resection after Laser Ablation in a Patient having Tracheal Neurilemoma with Tracheal Stenosis

• Park SM
• Kim KT

Abstract

Tracheal neurilemoma, an extremely rare benign tracheal tumor that there has been only one case reported in 1996 throughout the nation, is a slowly progressing disease that obliterates the upper airway, delays diagnosis for its symptom similarity to asthma, and makes intubation for operation difficult. Bronchoscopic is therefore needed for diagnosis. There are two options for the treatment methods, a bronchoscopic resection or open surgical resection; however if intubation is difficult, then the bronchoscopic resection is used first to keep the airway open for the surgical resection. In this case, the severe tracheal stenosis impeding intubation made the surgical resection of the primary tracheal neurilemoma with extratracheal mass impossible; therefore, bronchoscopic laser resection was applied first to optain the airway passage for endotracheal intubation, followed by a successful open surgical resection.

Keyword

Neurilemoma; Tracheal Neoplasm

MeSH Terms

Asthma
Diagnosis
Humans
Intubation
Intubation, Intratracheal
Laser Therapy*
Neurilemmoma*
Tracheal Neoplasms
Tracheal Stenosis*