GIANT SUPRASTOMAL GRANULOMA AS A LARYNGEAL MASS

The presence of suprastomal granulomas after tracheotomy is a common o ccurrence. Under most circumstances, this never becomes clinically rel evant. However, in the pediatric population, granulomas can on occasio n cause partial or complete airway obstruction after decannulation. Th is report describes 2 cases of giant suprastomal granulomas that prese nted as laryngeal masses. These cases stress the indications for routi ne endoscopic evaluation in patients with long-term tracheotomies. Als o, the treatment of extensive suprastomal granulomas requires open exc ision, which differs from the endoscopic approach recommended for smal ler granulomas.