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<p>Laryngeal fibromyxomas are rare benign tumours of the larynx, characterised by myxoid stroma and fibrous components. Typically, the symptoms would be those of gradually progressive laryngeal dysfunction. The present case describes an extremely rare entity, with delayed treatment due to initial misdiagnosis. This was an elderly male with a supraglottic mass who developed gradually worsening breathing difficulty, for which he had been undergoing treatment for bronchial asthma. Since this was not benefiting him, he was referred for ENT evaluation. Examination and investigations revealed a growth originating from the right pharyngoepiglottic fold. He underwent microlaryngeal surgery (MLS) with plasma mediated radiofrequency ablation (PRFA) under general anaesthesia. The final histopathology report was Fibromyxoma. There are only 24 cases reported worldwide, with none arising from the pharyngoepiglottic fold. This case report aims to discuss the rarity of the lesion and the novelty of PRFA in the successful treatment of large laryngeal lesions.</p>

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Surgical Management of Rare Laryngeal Mass

  • 期刊论文

  • 发表日期：

    2026年8月3日

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  • Kiran Babu,
  • Prasobh Sankar,
  • Ashly Raj

摘要

Laryngeal fibromyxomas are rare benign tumours of the larynx, characterised by myxoid stroma and fibrous components. Typically, the symptoms would be those of gradually progressive laryngeal dysfunction. The present case describes an extremely rare entity, with delayed treatment due to initial misdiagnosis. This was an elderly male with a supraglottic mass who developed gradually worsening breathing difficulty, for which he had been undergoing treatment for bronchial asthma. Since this was not benefiting him, he was referred for ENT evaluation. Examination and investigations revealed a growth originating from the right pharyngoepiglottic fold. He underwent microlaryngeal surgery (MLS) with plasma mediated radiofrequency ablation (PRFA) under general anaesthesia. The final histopathology report was Fibromyxoma. There are only 24 cases reported worldwide, with none arising from the pharyngoepiglottic fold. This case report aims to discuss the rarity of the lesion and the novelty of PRFA in the successful treatment of large laryngeal lesions.