A case of a rare leiomyomatous hamartoma arising in the posterior tong
ue of a sixteen-month-old male is reported. There has been no recurren
ce following simple excision and presenting symptoms of choking on swa
llowing have resolved. Most other leiomyomatous hamartomas in the uppe
r aerodigestive tract have been reported in Japanese patients and have
involved the maxillary gingiva and hard palate.