Description
A 9-year-old child presented with the complaint of voice change of 8 months in duration, which was gradually progressive, and a recent-onset noisy breathing at night noticed by the parents. There were no signs of airway distress or feeding issues on presentation, and the growth of the child was appropriate for her age.
On indirect laryngoscopic examination, a smooth, large polypoidal mass was seen arising from the anterior commissure, partially obscuring the laryngeal airway. Bilateral vocal cords were mobile. The initial impression was that of a benign vocal cord polyp (figure 1).
Figure 1
Laryngoscopic image showing smooth polypoidal mass arising from the anterior commissure.
The rest of the clinical examination was normal.
The patient was then planned for microlaryngoscopic laser-assisted excision of the polyp under general anaesthesia. Intraoperatively, the mass was engaged using a suspension laryngoscope and was seen to arise from the anterior commissure and found to be firm on palpation....
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