Recurrent Supraglottic Pyogenic Granuloma, Treated with Excision and Topical Mitomycin C

A 35 year old male was referred to our institution with symptoms of a muffled voice and a foreign body sensation in his throat. The patient had been evaluated at an outside facility six months previously for similar symptoms and a mass was identified on the laryngeal surface of the epiglottis. The patient was treated at the outside facility with removal of the mass via suspension microlaryngoscopy and cold instrumentation. The surgeon reported a pedunculated lesion on a narrow pedicle. Pathology revealed granulation tissue. The patient’s symptoms resolved, but returned four months later. Transnasal fiberoptic laryngoscopy at our center showed a mass originating from the laryngeal surface of the epiglottis obstructing the view of the patient’s endolaryngeal airway (Figure 1).