alexa Heterotopic Epiglottic Lymphoid Tissue (HELT) Causing Recurrent Epiglottitis | OMICS International | Abstract
ISSN: 2161-119X

Otolaryngology: Open Access
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Case Report

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]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.

 

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.

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