No abstract

Background: Vocal cord granuloma commonly arises following trauma or irritation from endotracheal intubation and reflux disease. Other uncommon causes are granuloma following voice abuse and foreign body in the larynx. Vocal process granuloma has however not been reported following blunt anterior neck trauma. Case Presentation: We present a case of vocal cord granuloma following an anterior neck trauma. The patient is a seven year old boy who presented with persistent hoarseness and stridor post neck injury of three months duration. Systemic steroid has been used prior to presentation with temporary improvement. The direct laryngoscopy done under general anaesthesia revealed masses on both vocal processes, which were successfully excised surgically. There was total resolution of presenting complaints after surgery with no symptoms suggestive of recurrence six month post operation. Conclusion: Post intubation and laryngopharyngeal reflux disease are common causes of vocal process granuloma. However, there is need to suspect granuloma formation following blunt anterior neck trauma for immediate conservative management avoiding the need for surgical intervention when patient present with upper airway obstruction.

Pleomorphic salivary adenoma (PSA) is a benign tumor composed of epithelial and mesenchymal elements. Approximately 10% of pleomorphic adenomas occur in the minor salivary glands, with the palate being the most common site. Mesenchymal elements in PSA are capable of giving rise to various components that are usually seen in the tumor. Still, the presence of calcifications either from degenerations or the mesenchymal elements is rare. We are reporting a case of giant pleomorphic adenoma of the soft palate with dystrophic calcification and significant upper aerodigestive obstruction in a 49-year-old Nigerian. Surgical excision was done under general anesthesia via oral route.