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R. Peter Manes, MD; Jennifer Nolan, BS; Kenneth A. Newkirk, MD; Norio Azumi, MD, PhD
Georgetown University Hospital, Washington, DC

Arch Otolaryngol Head Neck Surg. 2008;134(6):669.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 67-year-old woman with a history of left true vocal fold paralysis presented with a 6-day history of worsening dysphonia, dyspnea, and noisy breathing. She complained of dysphagia to solids but not to liquids. She did not have any fevers, chills, otalgia, or weight loss. Examination of her larynx revealed a left vocal cord mass with extension into the subglottis and a fixed left vocal fold. Her airway was significantly narrowed. The findings of the rest of the examination were significant only for biphasic stridor and a 2x2-cm mass in the anterior aspect of the neck.

The patient was brought to the operating room, where an awake tracheostomy, laryngoscopy with biopsy of the subglottic mass, and a core biopsy of the neck mass were performed. The biopsy specimens showed similar findings, with the . . . [Full Text of this Article]

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