After obtaining the consent of a family member, the planned hemicolectomy was conducted, in addition to a resection through laryngeal microsurgery and a biopsy of the
epiglottic tumor identified (0.75 cm) (Fig.
Epiglottic tuberculosis in a patient treated with steroids for Addison's disease.
Transoral laser marsupialization of
epiglottic cysts.
The
epiglottic and ventricular band cysts are retention type [4].
The commonly encountered benign lesions of the larynx are vocal cord polyps, vocal nodules, tuberculosis of larynx, laryngocele, laryngeal web,
epiglottic cysts, and subglottic hemangioma.
Particular attention should be paid to the
epiglottic petiole as avulsion of the thryoepiglottic membrane is often surgically repaired.
Table I: Endoscopic biometry of upper respiratory tract in bovine Animals Naso-
epiglottic distance Nasotracheal no.
Oral manifestations like recurrent aphthous ulcers, large chronic ulcers or erythrokeratotic papules can occur in 50% of patients.2 There can be associated palmoplantar hyperkeratosis, alopecia, eye involvement, and even
epiglottic infilteration.6The nail involvement is seen in 30% of cases in the form of thickening and hyperkeratosis of nail bed and yellowish pigmentation of nails.3 A possible association of Nekam's disease with glomerulonephritis and lymphoproliferative disorders has also been reported.5However, in our case we did not find any associated pathology.
Generally, anaphylactic reactions are characterized by an explosive dynamic of events, taking 3-4 minutes, with clinical picture depending on the allergen entrance site, manifested by sudden onset of
epiglottic and laryngeal edema added to cutaneous areas, as venom sites of penetration in the presented case.
The
epiglottic entrapment can be the cause of respiratory noise and poor performance.
Epiglottic prolapse induced by lighted stylet tracheal intubation.
For a malignancy with
epiglottic involvement, this could compromise oncologic control.
