# Pediatric Subligamentous Cordectomy: Successful Voice Outcome Following Laryngeal Granular Cell Tumor Resection

## TL;DR

A 12-year-old boy with a vocal cord tumor had successful surgery and voice recovery using a specific surgical technique.

## Contribution

Demonstrates the effectiveness of subligamentous cordectomy for pediatric laryngeal GCT treatment.

## Key findings

- Subligamentous cordectomy achieved excellent voice outcomes in a pediatric patient with GCT.
- GCTs in children can be effectively managed with complete excision despite initial positive margins.
- Pediatric GCTs show a tendency for submucosal spread, influencing surgical approach.

## Abstract

Background: Laryngeal granular cell tumors (GCTs) are rare lesions, particularly in pediatric patients. We present a case of GCT of the right true vocal cord in a 12-year-old male.

Methods: The electronic medical record was utilized to review the patient's clinical and surgical history.

Results: A 12-year-old male presented with a 2-year history of worsening dysphonia and cough. Flexible laryngoscopy revealed a submucosal pedunculated mass of the right mid and anterior true vocal cord. Gross resection was performed. Final pathology confirmed a benign GCT; however, a positive margin was identified. A right subligamentous cordectomy was pursued for complete excision of the residual GCT. The patient achieved an excellent voice outcome.

Conclusions: This case demonstrates that subligamentous cordectomy can be an effective treatment method for laryngeal GCT in pediatric patients. It also adds valuable data regarding pediatric GCT location and propensity for submucosal tumor spread.