Operative management of benign nonepithelial solid laryngeal tumors

Most benign tumors of the larynx are epithelial in origin, with nearly 85% being laryngeal papilloma. Nonepithelial laryngeal tumors are uncommon and more than 50% of these are malignant. Therefore, benign nonepithelial solid tumors of the larynx are quite rare. The management of these tumors varies based on the site of origin, specific pathology, tumor size, and risk for malignant transformation. Most are ultimately treated with complete surgical excision, although the potential response of the tumor to adjuvant therapy may play a role in decision making. In this article, general approaches to surgical excision of these benign nonepithelial laryngeal tumors is discussed.