alexa Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis | OMICS International| Abstract

ISSN: 2161-119X

Otolaryngology: Open Access

  • Case Report   
  • Otolaryngology 2014, Vol 4(3): 168
  • DOI: 10.4172/2161-119X.1000168

Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis

C Michael Haben* and Dating Liu
Center for the Care of the Professional Voice, Haben Practice for Voice and Laryngeal Laser Surgery, PLLC, New York, , USA
*Corresponding Author : C Michael Haben M.D, M.Sc, Director, Center for the Care of the Professional Voice, Haben Practice for Voice and Laryngeal Laser Surgery, PLLC, New York, USA, Tel: (585) 442-1110, Fax: (585) 730-8151, Email: [email protected]

Received Date: Feb 07, 2014 / Accepted Date: Apr 04, 2014 / Published Date: Apr 11, 2014

Abstract

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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