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Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science

Specialty

Otolaryngology

Advisor

Eric Genden, MD

Abstract

Angiomatoid fibrous histiocytoma (AFH) is a tumor which present in the subcutis and deep dermal layers of extremities, trunk, head or neck. Usually, AFH presents under the age of twenty years old, the mean age being 3 years old. The diagnosis often requires a good clinical exam, radiological imaging and genetic testing. Wide local excision is the treatment of choice. Transoral robotic surgery (TORS) provides an innovative approach to remove a pediatric upper airway mass. To our knowledge, there has been no case report of AFH in the upper airway that has been removed using TORS. The purpose of this case report is to present a successful removal of 95% of a supraglottic AFH mass and reconstruction of the defect with a mucosal flap. The use of TORS for AFH mass removal allows for minimum cosmetic defects, with low postoperative pain and short hospital stay. This paves another approach for surgeons to remove AFH tumors in the pediatric population.

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