BMJ Case Reports 2018; doi:10.1136/bcr-2018-225330
  • Rare disease

Solitary vallecular neurofibroma presenting with respiratory obstruction: an unusual presentation

  1. Susama Patra2
  1. 1ENT Department, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India
  2. 2Department of Pathology, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Pradeep Pradhan, padiapradhan{at}
  • Accepted 18 September 2018
  • Published 7 October 2018


An occurrence of vallecular neurofibroma with airway obstruction is extremely rare and to the best of our knowledge, no case report has been documented in the literature to date. Although microlaryngeal surgery with cold knife excision is the standard surgical procedure offered to patients of vallecular lesions, it can be successfully managed with the help of endoscopic coblation as later can provide a bloodless surgical field preventing the unmet need for the tracheostomy and reducing the postoperative morbidities.


  • Contributors PP: manuscript editing and submission. MM: manuscript writing. SS: pathological evaluation and data collection. SP: final pathological diagnosis.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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