gms | German Medical Science

83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2012, Mainz

Endoscopical removal of extended laryngopharyngeal benign tumor without employment of intubation and tracheostomy

Meeting Abstract

Search Medline for

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod014

doi: 10.3205/12hnod014, urn:nbn:de:0183-12hnod0146

Published: April 4, 2012

© 2012 Karpischenko.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Stenotic laryngopharyngeal benign tumors are a rare pathology. In our practice we had several observations of large cysts, papillomas, lipomas, granulomas and in one case we observe piriform sinus leomyoma.

In situation of non-fixed tumors with “valve”mechanism of flotation in case when passive expiration is possible we use our conventional approach of high-frequency jet ventilation via tracheopuncture as alternative to classic intubation and tracheostomy.

The idea of our presentation is to show an example of large leomyoma endoscopical removal, the wide possibilities of our ventilation method as for traditional surgical diseases of the larynx and for radical surgery of extended casual tumors.

Esophagus is the most typical organ for leomyomas. In present case a point of tumor growth was piriform sinus. The main cause of stenotic rise was prolonged anamnesis and late diagnosis. Leomyoma blocked laryngopharyngeal space causing the symptoms of breathing and swallowing disability.

Our conventional approach with use of semiconductor surgical laser was effective and radical.