Hyperplastic epiglottis caused by chronic inflammation

January 24, 2013
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Laryngoscopic Clinic

Due to the development of Hib vaccines, the epidemiology of epiglottitis has shifted dramatically back toward adult presentations, with a marked decline in the incidence among children.

A 56-year-old man with noninsulin-dependent diabetes presented with a 3-day history of worsening dyspnea and severe sore throat. He had also been experiencing mild odynophagia and dysphagia for the preceding 2 months. Flexible nasolaryngoscopy revealed a marked mucosal swelling of the epiglottis, which had collapsed into the glottis (figure 1). Resection of the edematous epiglottis was performed at microlaryngoscopy (figure 2).

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