PT  - JOURNAL ARTICLE
AU  - Neha Chauhan
AU  - Balaji Ramamourthy
AU  - Manjul Muraleedharan
AU  - Ramandeep Singh Virk
TI  - Laryngeal lymphangioma as a cause of respiratory distress in an adult with Down’s syndrome: an extremely rare presentation
AID  - 10.1136/bcr-2020-240130
DP  - 2021 Jan 01
TA  - BMJ Case Reports
PG  - e240130
VI  - 14
IP  - 1
4099  - http://casereports.bmj.com/content/14/1/e240130.short
4100  - http://casereports.bmj.com/content/14/1/e240130.full
SO  - BMJ Case Reports2021 Jan 01; 14
AB  - A 32-year-old man with Down’s syndrome was referred to the ear, nose and throat (ENT) department in view of failed attempts at extubation, and subsequently, at decannulation of tracheotomy tube. He had previously required ventilatory support and had history of intubation for 1 week. A flexible fibre-optic laryngoscopy showed a smooth mass covering the laryngeal inlet which moved with respiration. Direct laryngoscopy under general anaesthesia revealed a smooth mucosa covered fleshy mass arising from the left aryepiglottic fold and arytenoid, obstructing the laryngeal inlet. The mass was removed using controlled plasma ablation, and histopathological examination of the same was consistent with lymphangioma. Endoscopic examinations during the regular follow-up visits revealed well-healed supraglottic area with adequate glottic chink and the patient could be successfully decannulated.