Chondrosarcomas of the larynx are rare tumors, representing less than 0.2% of all head and neck malignancies[1]. In this report, we present an unusual case of an undiagnosed chrondrosarcoma of the larynx presenting as difficultintubation in an otherwise asymptomatic patient. Difficult intubation in an otherwise asymptomatic patient has notbeen reported as an initial presentation of this tumor. Men are more commonly affected than women (3.6: 1), and thetumors typically present in the fifth or sixth decade of life. Patients may present with dyspnea, dysphagia, hoarsenessof the voice, airway obstruction and some may have pain as a result of expansion of this tumor. The tumors almost alwaysarise from hyaline cartilage, with the most common site of involvement the cricoid cartilage (75%), specifically theposterior lamina, with the thyroid cartilage and arytenoid cartilage less frequently involved. Though locally invasive,these tumors are characterized by a low tendency for distant metastasis and the overall prognosis following excision isexcellent [2].
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