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A whitish glistening 3x2x1.5 cm mass seen on the left aryepiglottic folds extending on to the false cord.
An elective tracheostomy was performed and under general anesthesia, a larygofissure approach was performed by splitting the thyroid cartilage, and the mass was found attached with a broad base pedicle to the left aryepiglottic fold on its medial aspect and left ventricle.
It is important to save the aryepiglottic fold which helps maintain the architecture of the supra glottic larynx and can possibly decrease the risk of aspiration.
(18) If floppiness of the epiglottis or aryepiglottic folds was seen while the patient was breathing spontaneously, trimming of the mucosa of the aryepiglottic fold(s) was performed to allow for increased airflow.
In the 42 TNE cases, 4 primary cancers were biopsied through a port on the endoscope; 2 of these cancers were in the tongue base, 1 in the hypopharynx, and 1 in the aryepiglottic fold (figure).
Direct laryngeal endoscopy with general anesthesia showed the smooth mass involving the left aryepiglottic fold and false vocal folds (figure 3).
Endoscopic examination detected a smooth submucosal right-sided mass that involved the aryepiglottic fold, false vocal fold, and true vocal fold (figure 1).
Twelve years earlier, the patient had been hospitalized for the treatment of dyspnea and dysphagia secondary to the presence of a 1-cm reddish mass that had involved the left aryepiglottic fold and caused supraglottic narrowing.
Transnasal videolaryngoscopy revealed bilateral polypoid degeneration of the vocal folds (Reinke edema) and melanosis of the right aryepiglottic fold (figure).
CT demonstrated a 3.2 x 3.4 x 2.6-cm mass with fatty attenuation centered in the right aryepiglottic fold and right epiglottis (figure 2).
A laryngocele grows pos-terosuperiorly on the medial side and pushes the band ventricles and the aryepiglottic folds. A laryngocele can pass through the thyrohyoid membrane and enter the soft tissues of the neck.