Epiglottis

Iatrogenic epiglottic inversion during intubation

August 21, 2013     Adam Rourke, DO and Adam Rubin, MD
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The otolaryngologist must recognize when the epiglottis is inverted or risk inserting the laryngoscope too far and traumatizing the vocal folds.

Hyperplastic epiglottis caused by chronic inflammation

January 24, 2013     Mark D. Wilkie, MBChB; Samuel C. Leong, MPhil; Alessandro Panarese, FRCS; Arnab Banerjee, FRCS
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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.

Thyroid cartilage fracture following percutaneous tracheotomy tube placement

December 31, 2012     Jaime Eaglin Moore, MD and Andrew Heller, MD
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Patients whose body mass index (BMI) is 30 or greater have a higher likelihood of a distorted anatomy, which can make tracheotomy tube placement difficult.

Laryngeal ulceration and hemoptysis secondary to inadvertent alendronate overdose: Case report and review of the literature

October 31, 2012     John Hanna, DO; Joseph Bee, DO; and Robert T. Sataloff, MD, DMA, FACS
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Abstract

Alendronate is commonly used in the treatment of osteoporosis and other bone diseases. Its drug profile includes many recognized side effects, and the literature includes case reports of esophageal irritation and ulceration. However, little has been published about laryngeal effects. We describe the case of a 77-year-old man who presented with hemoptysis secondary to laryngeal ulceration caused by the inadvertent misuse of alendronate. This case highlights the need for otolaryngologists to be familiar with alendronate and its side effects.

Suprahyoid pharyngotomy for excision of laryngeal venous malformation

January 25, 2012     Unnikrishnan K. Menon, MS(ENT), DNB(ENT), N.V. Deepthi, MBBS, and Indudharan R. Menon, MS(ENT), DLO, DNB(ENT)
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Abstract

We report an uncommon case of symptomatic venous malformation of the larynx in a 22-year-old man, and the successful surgical management thereof. A detailed radiologic investigation of the lesion was done, followed by surgical excision via a suprahyoid pharyngotomy using cold instruments. Long-term follow-up was maintained, and the patient had subjective and objective resolution of his symptoms and signs at 3 years postoperatively. We conclude that radiology can reveal hitherto unsuspected extensions of vascular malformations in the neck and that surgical excision is a viable mode of treatment in upper aerodigestive venous malformations.

An uncommon case of laryngeal oncocytoma

April 30, 2011     Brett Travis, MD, Enrique Palacios, MD, FACR, and Curt L. McCarty, MD
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Pasteurella multocida epiglottitis: A review and report of a new case with associated chronic lymphocytic leukemia

December 17, 2010     Penelope J. Harris, MD and Michael B. Osswald, MD
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Abstract

Pasteurella multocida is a gram-negative coccobacillus that primarily affects animals. P multocida infections in humans are usually associated with animal contact. To the best of our knowledge, only 7 cases of P multocida epiglottitis have been previously reported in the English-language literature; none of these cases occurred in a patient with chronic lymphocytic leukemia. We describe what we believe is the first reported case of P multocida epiglottitis in a patient with chronic lymphocytic leukemia, and we review the previous reports of this rare entity.

Extramedullary plasmacytoma of the larynx: A case report from Japan

December 1, 2007     Takeshi Kusunoki, MD, Katsuhisa Ikeda, MD, Kiyotaka Murata, MD, Shozo Nishida, MD, and Masanobu Tsubaki, MD
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Abstract

Laryngeal plasmacytoma is rare in Japan; to the best of our knowledge, only 8 other cases have been previously reported. We report a new case of extramedullary plasmacytoma of the larynx in a 76-year-old Japanese woman. Immunohistochemical investigation revealed that her disease had not progressed to multiple myeloma. The patient declined radiotherapy, and her condition remained stable at the 6-month follow-up.

Bifid epiglottis

October 31, 2007     Stefanie K. Horne, MD, Peter G. Michaelson, MD, and Erik Weitzel, MD
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Primary malignant melanoma of the epiglottis: A rare presentation

April 1, 2006     Rajaraman Durai, MS, MRCS; Syed Hashmi, FRCS
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Abstract
Primary malignant melanoma of the epiglottis is extremely rare. Until now, only 4 cases have been reported in the world literature. We describe a new case of epiglottic primary malignant melanoma in a 74-year-old man who presented with hoarseness and a foreign-body sensation. Clinical examination revealed the presence of a small, whitish, polypoid tumor on the laryngeal surface of the epiglottis; no other primary melanoma was detected. Wide excision of the lesion was performed, and microscopy revealed that it contained melanin-pigmented tumor cells in both the mucosa and submucosa. Immunostaining was positive for S-100 protein. The patient was treated with radiotherapy, and he remained well 1 year after the diagnosis with no evidence of recurrence.

Myxolipoma of the epiglottis in an adult: A case report

November 1, 2005     Surinder K. Singhal, MS; Ramandeep S. Virk, MS; Harsh Mohan, MD; Sanjeev Palta, MD; Arjun Dass, MS
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Abstract
Lipomas of the larynx are rare. When they do occur, they are important because some require that the surgeon perform a tracheotomy to prevent a fatal airway obstruction. We report a case of myxolipoma''that is, a lipoma with foci of myxomatous degeneration''of the epiglottis in a 56-year-old woman. We successfully treated the tumor with intubation and surgery; tracheotomy was not necessary. To the best of our knowledge, myxolipoma of the epiglottis in an adult has not been previously reported in the English-language literature.