Surgical management of localized amyloidosis

• Published in: The Laryngoscope Vol. 110; no. 6; p. 918
• Main Authors: Kennedy, T L, Patel, N M
• Format: Journal Article
• Language: English
• Published: United States 01.06.2000
• Subjects: Adult; Aged; Amyloidosis - diagnostic imaging; Amyloidosis - surgery; Female; Humans; Image Processing, Computer-Assisted; Laryngeal Diseases - diagnostic imaging; Laryngeal Diseases - surgery; Male; Middle Aged; Retrospective Studies; Tomography, X-Ray Computed
• ISSN: 0023-852X
• DOI: 10.1097/00005537-200006000-00005

To demonstrate the role of two-dimensional reconstruction images on computed tomography (CT) in the treatment planning for laryngeal amyloidosis. To discuss the treatment for isolated laryngeal amyloidosis and compare the role of endoscopic versus an open surgical approach to management. Retrospective review. The medical records from 1984 to the present with the diagnosis of localized respiratory tract amyloidosis at Geisinger Medical Center were reviewed. Five previously unpublished cases of localized laryngeal amyloidosis were identified with the supraglottic region the major site of involvement. Hoarseness and airway compromise were the presenting symptoms. CT two-dimensional reconstruction imaging was used to evaluate two cases with extensive laryngeal involvement that required an external surgical approach to relieve symptoms. Localized laryngeal amyloidosis is a rare disease that requires surgical management when symptomatic. CT two-dimensional reconstruction can be helpful in detailing the extent of disease and planning surgery. A lateral external supraglottic approach has been found to be successful in treating patients with large supraglottic masses.