Foreign body lodgement in the larynx is a rare situation. Our review of the literature revealed no living foreign body in larynx except for laryngeal leeches and anisakiasis. In this article, we report a patient with unusual laryngeal foreign body lodgement: a bee which presented with sudden odynophagia and stinging sensation in throat. The bee was detected on the laryngeal mucosa in indirect laryngoscopic examination and removed immediately under general anesthesia in apneic period. In this case report, we describe the importance of detailed anamnesis and laryngeal examination even if the patient has no severe symptoms.

ÖZETEpidermoid kistler derinin en sık görülen kistleridir. Dermoid ve epidermoid kistlerin baş ve boyun bölgesinde görülme sıklığı %1.6-6.9 arasında değiş-mektedir. Konjenital epidermoid kistlerin etyolojisi tam olarak aydınlatılmamıştır. En çok kabul gören teoriye göre birinci ve ikinci brankial arkusların kapanması sırasında sıkışan embriyojenik epitelyal doku artıklarından oluştuğu ileri sürülmektedir. Epidermoid kistler klinik olarak boyun orta hatta yavaş büyüyen asemptomatik kitleler olarak belirirler. Epidermoid kistler genellikle küçüktürler ve nadiren 5 cm üzerinde boyutlara ulaşırlar. Tedavisi kistin cerrahi olarak tamamen çıkartılmasıdır. Kistin ağız tabanı ile ilişkisine göre eksternal veya internal cerrahi yaklaşım seçilir. Burada, boyunda submental şiş-lik olarak ortaya çıkan dev epidermoid kist literatür eşliğinde tartışılmıştır. Anahtar Sözcükler Epidermoid kist, boyun, cerrahi ABSTRACTEpidermoid cysts are the most common skin cysts. The incidence of epidermoid and dermoid cysts range between 1.6-6.9% in head and neck region. The etiology of congenital epidermoid cysts are not fully understood. According to commonly accepted theory, they originate from embryonic remnants of epithelium that was trapped during the fusion of first and second branchial arches. Epidermoid cysts clinically appea as a slowly growing asymptomatic masses at the midline of the neck. They are usually small and rarely reach above 5 cm in size. Treatment of epidermoid cyst is total surgical excision. The surgical approach is choose as an external or internal one according to relationship of the cyst with the floor of the mouth. Herein, a giant epidermoid cyst emerged as a submental swelling in the neck is discussed in the light of the literature.

A 29-year-old male patient presented with a painless, slow-growing, solid mass in the left sublingual region, present for 4 months. Clinical examination showed a submucosa mass in the left sublingual region (Figure 1A).