{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:21Z","timestamp":1756291221889,"version":"3.44.0"},"reference-count":21,"publisher":"BMJ","issue":"2","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,1,27]]},"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:p>Chondrosarcoma of the larynx is rare accounting for approximately 1% of laryngeal cancers; clear cell subtype is a rare variant. Given the low risk of occult nodal disease, they present a unique opportunity to maximise tissue preservation in order to optimise both recovery and long-term functional outcomes. We present a case of laryngeal clear cell chondrosarcoma causing critical airway obstruction. An emergency tracheostomy was performed and mapping biopsies were taken. The tumour originated from the cricoid and extended into both arytenoid superstructures precluding cricotracheal resection. A modified narrow-field laryngectomy was performed, preserving all pharyngeal mucosa and neurovascularly intact infrahyoids. Organ preservation surgery is preferred in the management of laryngeal chondrosarcoma. If laryngectomy is required, the surgeon must ensure that all uninvolved, functional tissue is preserved carefully to improve swallow and voice outcomes postoperatively. We describe a novel technique used to achieve this outcome.<\/jats:p>","DOI":"10.1136\/bcr-2020-236044","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T16:02:05Z","timestamp":1612886525000},"page":"e236044","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Functional optimisation in chondrosarcoma of the subglottis: a novel surgical approach"],"prefix":"10.1136","volume":"14","author":[{"given":"Jessica","family":"Daniels","sequence":"first","affiliation":[{"name":"ENT, Tameside and Glossop Integrated Care NHS Foundation Trust, Ashton-under-Lyne, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Durant","sequence":"additional","affiliation":[{"name":"ENT, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jay","family":"Goswamy","sequence":"additional","affiliation":[{"name":"ENT, Manchester University NHS Foundation Trust, Manchester, Greater Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"2025082703190332000_14.2.e236044.1","first-page":"92","article-title":"Epidemiology and classification of bone tumors","volume":"9","author":"Franchi","year":"2012","journal-title":"Clin Cases Miner Bone Metab"},{"key":"2025082703190332000_14.2.e236044.2","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2007-0237"},{"key":"2025082703190332000_14.2.e236044.3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/1758-3284-4-13","article-title":"Clear cell chondrosarcoma of the head and neck","volume":"4","author":"Mokhtari","year":"2012","journal-title":"Head Neck Oncol"},{"key":"2025082703190332000_14.2.e236044.4","doi-asserted-by":"publisher","DOI":"10.1007\/s003300050897"},{"key":"2025082703190332000_14.2.e236044.5","doi-asserted-by":"crossref","first-page":"848","DOI":"10.2484\/rcr.v8i2.848","article-title":"Clear-Cell chondrosarcoma of the humerus","volume":"8","author":"Elojeimy","year":"2013","journal-title":"Radiol Case Rep"},{"key":"2025082703190332000_14.2.e236044.6","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1002\/lary.26068","article-title":"Laryngeal chondrosarcoma: a systematic review of 592 cases","volume":"127","author":"Chin","year":"2017","journal-title":"Laryngoscope"},{"key":"2025082703190332000_14.2.e236044.7","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/MOO.0000000000000337","article-title":"Conservative surgery for laryngeal chondrosarcoma: a review of the most recently proposed approaches","volume":"25","author":"Piazza","year":"2017","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"2025082703190332000_14.2.e236044.8","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100076714"},{"key":"2025082703190332000_14.2.e236044.9","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s12105-014-0542-8","article-title":"Primary laryngeal clear cell chondrosarcoma: report of a case and literature review","volume":"8","author":"Alexander","year":"2014","journal-title":"Head Neck Pathol"},{"key":"2025082703190332000_14.2.e236044.10","doi-asserted-by":"crossref","first-page":"2767","DOI":"10.1245\/s10434-014-3668-8","article-title":"Transoral endoscopic resection of low-grade, cricoid chondrosarcoma : endoscopic management of a series of seven patients with low-grade cricoid chondrosarcoma","volume":"21","author":"Pelliccia","year":"2014","journal-title":"Ann Surg Oncol"},{"key":"2025082703190332000_14.2.e236044.11","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1016\/j.amjoto.2018.03.002","article-title":"Transoral robotic surgery for the treatment of laryngeal chondrosarcoma: a case report","volume":"39","author":"Guthrie","year":"2018","journal-title":"Am J Otolaryngol"},{"key":"2025082703190332000_14.2.e236044.12","doi-asserted-by":"crossref","first-page":"1364","DOI":"10.1017\/S0022215109990284","article-title":"Endoscopic resection of low grade, subglottic chondrosarcoma","volume":"123","author":"Oestreicher-Kedem","year":"2009","journal-title":"J Laryngol Otol"},{"key":"2025082703190332000_14.2.e236044.13","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2018-226541","article-title":"Clear cell chondrosarcoma of the larynx","volume":"2018","author":"Hendriks","year":"2018","journal-title":"BMJ Case Rep"},{"key":"2025082703190332000_14.2.e236044.14","first-page":"42","article-title":"A case of clear cell chondrosarcoma of ring cartilage","volume":"43","author":"Yuanyuan","year":"2014","journal-title":"Chin J Physiol"},{"key":"2025082703190332000_14.2.e236044.15","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1007\/s00106-004-1089-x","article-title":"[Clear cell chondrosarcoma of the larynx. 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