BIFID EPIGLOTTIS SYNDROME

True bifid epiglottis is an extremely rare laryngeal anomaly, which us ually presents in the neonate with symptoms of aspiration and/or airwa y obstruction, Management is generally supportive observation as the s ymptoms lessen with age, but rarely tracheotomy is required for airway obstruction, Bifid epiglottis occurs in a syndromic picture with asso ciated anomalies, especially polydactyly, cleft palate and retro/micro gnathia but a significant number will have endocrine, gastrointestinal and genitourinary abnormalities. A case of true bifid epiglottis is p resented and the literature is reviewed on the subject.