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High-Rising Epiglottis in Children: Should It Cause Concern?

From Department of Otolaryngology-Head and Neck Surgery, Whipps Cross University, NHS Hospital NHS Trust, Leytonstone, London

Correspondence: Corresponding author: Nadeem Petkar, Department of Otolaryngology and Head and Neck Surgery, Whipps Cross University Hospital, Whipps Cross Road, Leytonstone, London, E11 1NR, United Kingdom (E-mail: napetkar{at}yahoo.com)

An omega-shaped epiglottis is frequently associated with laryngomalacia. However, an elongated high-rising epiglottis can represent a normal variation of the larynx in a majority of pediatric patients. It is important to consider this in a healthy child with no complaints apart from the sensation of a foreign body in throat. This will avoid triggering any unnecessary investigation or treatment. An elongated epiglottis projecting in the oropharynx can appear as a foreign body and be a source of anxiety for the parents as well as the unaware family practitioner. We present such a case, with a brief discussion of the pediatric larynx and the omega-shaped epiglottis.

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