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Computed tomography (CT) with contrast demonstrated a hyperdense mass that extended from the right aryepiglottic fold to the right vocal fold (figure 2).
2) These tumors are generally found in areas that contain a high proportion of subepithelial fat, such as the epiglottis and aryepiglottic folds.
A thorough clinical workup of all the patients was done (detailed history, general physical and systemic examination, complete nasal and paranasal sinuses examination, examination of ears, examination of larynx, external examination for obvious swelling, mobility of the laryngeal framework, laryngeal crepitus, tenderness, laryngeal expansion, and indirect laryngoscopy to examine posterior one-third of the tongue, valleculae, epiglottis, aryepiglottic folds, vestibular folds, vocal cords, pyriform fossae, and movements of the vocal cords).
When the inflammation becomes extensive, the epiglottis and the aryepiglottic folds sometimes invaginate through the glottic opening, as the patient generates greater negative pressures with more forceful inspiratory efforts.
It contains the epiglottis, arytenoid cartilage, aryepiglottic folds, vocal cords and the cricoid cartilage.
The aryepiglottic folds are thin walls of tissue that extend from the posterior upper larynx to the epiglottis, and these form the medial borders of the pyriform sinuses, which may be elucidated on a swallow study (not shown here).
Evans reported that airway obstruction following placement of laryngeal masks are mostly due to posterior displacement of the epiglottis or encroachment of the aryepiglottic folds on the laryngeal inlet (4).
On the other hand, if the expiratory coughing is weak and the resistance offered by the aryepiglottic folds is enough, the foreign body is held up in tile vestibule of the larynx.
Laser division of the aryepiglottic folds for severe laryngomalacia.
The patient was a 21-year-old woman who presented with a recurrence of a previously resected supraglottic tumor of the aryepiglottic folds.