Abstract

A 72 year-old male was referred to us complaining of respiratory distress. An endoscopic examination revealed a subglottic mass which occupied almost the whole subglottic space. The subglottic mass was totally removed using a laryngofissure technique, which gave us a wide operative field. The mass was pathologically confirmed as an inflammatory granuloma. A piece of the oral mucosa was successfully grafted to the excised portion. Although an intraluminal stent was not applied, the patient showed a satisfactory postoperative course with no signs of recurrence or any stenotic lesions. He had undergone cardiac surgery three months before his consultation, and had been intubated for 10 days. Therefore, the pathogenesis of the subglottic granuloma was believed to be inappropriate long-term intubation.

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