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KMID : 0361020000430070769
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 7 p.769 ~ p.770
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A Case of Congenital Absence of the Epiglottis in an Adult
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Kwon Yong-Jae
Kim Sung-Shik
Jeon Jin-Ha
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Abstract
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Congenital absence of the epiglottis is a rare anomaly of the larynx. We present a case in a young
female adult who was identified incidentally as the first case of congenital absence of the epiglottiscase
found in a adult. In her history, she had suffered from frequent upper respiratory infections and muffled
voice. She had a herniated lumbar nucleus pulposus, and was scheduled to undergo a laminectomy. While
inducing general anesthesia on the patient, the anesthesiologists had a great deal of difficulty in intubation
of the endotracheal tube by routine procedure and consulted the department of ENT. The absence of the
epiglottis was observed as a result of ENT consultation when examining the patient through a fiberoptic
endoscope. fiberoptic laryngoscope and neck lateral plain X-ray. Using a fiberoptic laryngoscope and a
neck lateral plain X-ray, we confirmed a congenital absence of the epiglottis, hypertrophy of aryepiglottic
fold and arytenoid region, elongated larynx, a large false vocal cord.
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KEYWORD
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Epiglottis, Congenital absence, Adult
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