A rare case of a pediatric laryngeal intubation granuloma

Intubation is a well-known risk factor for the development of laryngeal granuloma. Even though intubation in children is not uncommon, only a handful of cases of pediatric intubation granuloma have been reported. A 10-year-old patient presented with progressive dysphonia due to a large laryngeal granuloma three months after tonsillectomy. Suspension microlaryngoscopy was performed using supraglottic superimposed high frequency jet ventilation and the granuloma was excised with a CO 2 laser. Overall, endotracheal intubation is the main cause of laryngeal granuloma, but also GERD, female anatomy and a respiratory tract infection can play a role. In this case, the relatively large endotracheal tube is expected to have contributed greatly to the formation of the granuloma. When choosing the size of an endotracheal tube in children, not only the age but also the stature of the patient should be taken into account.