Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis
Received Date: Feb 07, 2014 / Accepted Date: Apr 04, 2014 / Published Date: Apr 11, 2014
Problem: A unique case of recurrent infectious epiglottitis in an immunocompetent, fully immunized, non-syndromic 23 year old female.
Method: Case report
Results: Patient was successfully managed with an endoscopic partial epiglottectomy at two years of follow-up. Pathology revealed what appears to be sub-mucosal germinally-active heterotropic lymphoid tissue within the epiglottic soft tissues as the likely cause of the recurrent epiglottitis.
Conclusions: The embryology of the lingual tonsils and epiglottis may provide a clue to the etiology of this case. Heterotrophic epiglottic lymphoid tissue may be considered a newly described, clinically significant congenital laryngeal anomaly that may not present until adulthood and should be considered in rare cases of recurrent infectious epiglottitis.
Keywords: Epiglottis, Epiglottitis, Lingual tonsils, Congenital laryngeal anomaly, Lymph tissue
Citation: Haben CM, Liu D (2014) Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis. Otolaryngology 4:168. Doi: 10.4172/2161-119X.1000168
Copyright: © 2014 Haben CM et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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