Abstract
A rare case of large vocal cord polyp causing dyspnea is reported. A 55-year-old man with thrombocytopenia visited our department complaining of dyspnea and hoarseness. Laryngeal endoscopy showed a large mass located between the vocal cords, which moved up and down in accordance with breathing. The upper airway was very narrow because of the mass. Tracheostomy was performed under local anesthesia and then the mass was resected under general anesthesia using a laryngomicrosurgery technique. The patient's dyspnea and hoarseness disappeared after surgery. The histopathological findings indicated a diagnosis of vocal cord polyp. We consider that tracheostomy is the safest and most useful procedure to guarantee the upper airway in cases of large vocal cord polyp showing dyspnea.
