Özge METİN, Işıl YILDIRIM, Şit UÇAR, Pelin ZORLU

Hamartoma of the Larynx: An Unusual Cause of Stridor

Background: Hamartoma of the larynx is a very rare lesion, andthe number of reported cases is limited. Signs and symptoms includestridor, changes in voice, eating and respiratory complaints. Stridoris a sign of upper airway obstruction. Patients presenting with stridorand severe respiratory distress necessitate urgent otolaryngologicevaluation.Case Report: Herein, we report a case of laryngeal hamartoma presentingwith recurrent pneumonia and persistent stridor in a 7-montholdpatient. He was admitted to hospital with the initial diagnosis ofrecurrent pneumonia and persistent stridor. Stridor was not responsiveto cool mist, nebulised epinephrine or dexamethasone. Cervical computedtomography (CT) revealed a solid, nodular mass on the posterolateralwall of larynx. The mass was excised surgically. After surgicalremoval of the hamartoma, the child was relieved of the obstruction.Conclusion: We want to emphasise that patients presenting with persistentstridor and severe distress necessitate urgent otolaryngologicevaluation.

PDF

___

1. Buckmire RA, Kwon TK. Bilateral obstructing laryngeal epithelial adenomatous hamartomas. Arch Otolaryngol Head Neck Surg 2005;131:259-61. [CrossRef]
2. Daniel SJ. The upper airway congenital malformations. Paediatr Respir Rev 2006;7:260-3. [CrossRef]
3. Fine ED, Dahmas B, Arnold JE. Laryngeal hamartoma: A rare congenital abnormality. Ann Otol Rhinol Laryngol 1995;104:87-9. [CrossRef]
4. Karatas E, Mumbuc S, Durucu C, Kanlıkama M, Bakır K, Ekiz S. Hamartoma of the larynx causing nonspesifik symptoms in the falce vocal cord: Original image. Turkiye Klinikleri J Med Sci 2008;28:252-4.
5. Leung AK, Cho HY. Diagnosis of stridor in children. Am Fam Physician 1999;60:2289-96.
6. Linder A. Hamartoma of the larynx causing neonatal respiratory distress. J Larygol Otol 1997;112:166-8.
7. Makitie AA, Lehtonen H, Back L, Aaltonen LM, Leivo I. Hamartoma of the larynx: An unusual cause of dyspnea. Ann Otol Rhinol Laryngol 2003;112:841-3. [CrossRef]
8. Rinaldo A, Mannara GM, Fisher C, Ferlito A. Hamartoma of the larynx: a critical review of the literature. Ann Otol Rhinol Laryngol 1998;107:264-7. [CrossRef]
9. Yigitbasi OG, Guler G, Ozturk F, Guney E. Glandular hamartoma of the larynx. Int J Pediatr Otorhinolaryngol 2002;65:163-6. [CrossRef]