scribed having partial remission of symptoms, slowly progressing with the expiratory dyspnea and stridor. The rigid laryngoscopy showed a subglottic mass occluding 70% of the light, with preserved chordal mobility. Computer Tomography (CT) performed as a diagnosis protocol showed in the tracheal lumen a soft tissue isodense mass extending from subglottis to the 3 rd tracheal ring, approximately 5 × 10 × 5 mm wide, with irregular edges (Figure 1, Figure 2 and Figure 3). A tracheotomy was performed under local anesthesia followed by a direct microlaryngoscopy, achieving