The first case of osteoma in the false vocal fold.
OBJECTIVE
This article reports the first evidence of a larynx osteoma of the false vocal fold.


METHODS
Case report and literature review.


METHODS
Case report and review of previously published cases of larynx osteomas.


RESULTS
A 79-year-old patient was referred to our institution for dysphagia and hoarseness. Fibrolaryngoscopy showed a regular surface tumefaction of the false fold and the left ventricle, with preserved cordal motility. Patient underwent direct laryngoscopy with CO(2) laser excision of the lesion. Pathologic examination of the lesion (1.6cmx1cm) showed features consistent with an osteoma. Complete regression of symptoms was observed after surgery, with no lesions found on routine 1-year follow-up.


CONCLUSIONS
Osteomas are benign, slow growing tumors of the craniofacial bone area, very rarely located in the larynx. Although the etiology is unknown, accepted theories point to embryologic, post-traumatic and infectious causes. Surgical excision is indicated only in symptomatic cases. This case report is the fourth evidence of laryngeal osteoma and, to our knowledge, the first finding of a false vocal fold osteoma.
Angelillo
M
M
Department of Audiology and Phoniatry of Second University of Naples, Italy. marcoangelillo@libero.it
Mazzone
S
S
Costa
G
G
Mazzone
A
A
Barillari
U
U
D000368:Aged; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007828:Laryngoscopy; D053685:Laser Therapy; D008297:Male; D010016:Osteoma / Q000473:pathology / Q000601:surgery*; D014827:Vocal Cords / Q000473:pathology / Q000601:surgery*