A Case of Isolated Neurofibroma Arising from the Epiglottis / 대한이비인후과학회지

ABSTRACT

Neurofibroma in the larynx is unusual and associated with von Recklinghausen's disease. A case of solitary endolaryngeal neurofibroma was first reported by Suchanek in 1925. Following the first report, there have been sporadic reports of solitary endolaryngeal neurofibroma. The aryepiglottic folds are the usual sites of occurrence for laryngeal neurofibroma, because the branch of the superior laryngeal nerve is involved. Rarely, a vocal cord is also concerned. We present here a case of neurofibroma in a 35 year-old male who complained of snoring, throat discomfort and hoarseness, all of which persisted for 5 months. This neurofibroma arose from the lingual surface of the epiglottis, thus making intubation difficult. We removed this tumor completely by transoral approach under the retrograde wire-guided endotracheal intubation. No evidence of recurrence was found for about two years. The solitary neurofibroma arising from the epiglottis has not been reported yet. So we present the first case of solitary neurofibroma of the epiglottis.