A giant oropharyngeal synovial sarcoma threatening the supraglottic airway - A case report

Oropharyngeal synovial sarcoma is a rare malignant tumour. It has an aggressive nature and poor prognosis. The treatment of the synovial sarcoma is essentially surgical followed by postoperative chemoradiation. The giant oropharyngeal synovial sarcoma obstructing the airway may create threatening to the patient's airway and challenge to the surgeon. Before treating the patient, safe airway is vital for management of the disease. The appropriate diagnosis and treating the lesion with negative margin can improve the prognosis and survival of the patient. We report a case of oropharyngeal synovial sarcoma obstructing the supraglottic airway in a 29 year old man, who undergone tracheostomy for safe airway followed by surgery and chemoradiation.