Unusual polypoid laryngeal myxoma

Laryngeal polyps, known as vocal cord polyps, are often benign, reactive, polypoid, squamous mucosa with subepithelial hyalinization and edematous stroma. Rarely, a benign mesenchymal myxoma occurring in the vocal cord will present as a polyp. It may have a local recurrence due to inadequate excision and result in airway obstruction. We report a case of a 46-year-old male who had a history of smoking and complained of hoarseness. A polypoid vocal cord mass was removed and the pathologic finding was a benign myxoma. To assure complete excision of the lesion, one should be aware that this rare entity may involve a laryngeal location.