Isolated laryngeal sarcoidosis.

Area of Science:

• Pulmonology
• Otolaryngology
• Medical Case Reports

Background:

• Laryngeal sarcoidosis is a rare condition causing upper airway obstruction.
• Diagnosis can be challenging, often requiring biopsy to confirm non-caseating granulomatous inflammation.

Observation:

• A 19-year-old male presented with progressive dyspnea due to suspected upper airway obstruction.
• Extensive diagnostics were inconclusive until biopsy revealed laryngeal sarcoidosis.

Findings:

• CO2 laser microsurgery was used to resect supraglottic swelling, including the epiglottis, false vocal cords, and aryepiglottic folds.
• A 1.5-ms pulse-duration CO2 laser provided effective treatment for laryngeal sarcoidosis.

Implications:

• CO2 laser treatment offers immediate symptom improvement for laryngeal sarcoidosis.
• This technique may reduce the need for long-term medical therapy and prevent tracheostomy.