Wednesday, December 8, 2010

Retroverted or Curled Epiglottis

We came across a curled epiglottis recently as part of a cervical spine evaluation. Keats does not list this as a variant. The otoaryngology literature describes a retroverted epiglottis touching the base of the tongue that can cause symptoms of globus pharyngeus. The symptoms resolved in this case series of 4 patients following laser excision of the retroverted part of their epiglottis. Our patient didn't have any symptoms of globus pharyngeus according to the clinic notes, so the significance of the curled epiglottis in this case is unknown.

References

Agada FO, Coatesworth AP, Grace AR. Retroverted epiglottis presenting as a variant of globus pharyngeus. J Laryngol Otol. 2007 Apr;121(4):390-2.

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