Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis*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]m
Received Date: Feb 07, 2014 / Accepted Date: Apr 04, 2014 / Published Date: Apr 11, 2014
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 . 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.
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.