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Epiglottic Carcinoma as a Cause of Laryngeal Penetration and Aspiration

Andrew Mong1, Marc S. Levine, Stephen E. Rubesin and Igor Laufer

1 All authors: Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104.



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  		Fig. 1A. —75-year-old man with epiglottic carcinoma. Lateral spot image of pharynx from pharyngoesophagogram during phonation reveals bulky polypoid mass (arrows) involving entire epiglottis.

 


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  		Fig. 1B. —75-year-old man with epiglottic carcinoma. Lateral spot image of pharynx from pharyngoesophagogram during swallowing shows epiglottic mass (solid straight arrows) extending inferiorly to level of anterior commissure (open arrow). Also note penetration of barium into larynx and associated aspiration into proximal trachea (curved arrow). This patient had such a bulky mass involving epiglottis that the mass lodged against posterior wall of pharynx during swallowing, preventing epiglottic tilt.

 


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  		Fig. 2A. —50-year-old man with epiglottic carcinoma. Lateral spot image of pharynx from pharyngoesophagogram shows polypoid mass (arrows) arising from epiglottic tip.

 


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  		Fig. 2B. —50-year-old man with epiglottic carcinoma. Frontal spot image of pharynx from pharyngoesophagogram also shows polypoid mass (arrows) extending superiorly from region of epiglottis. Although this lesion involved epiglottis, patient had no laryngeal penetration or aspiration.

 


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  		Fig. 3. —50-year-old man with epiglottic carcinoma. Lateral spot image of pharynx from pharyngoesophagogram during phonation shows infiltrative tumor (straight arrows) expanding both vallecular and vestibular surfaces of epiglottis and extending inferiorly toward anterior commissure (open arrow). Also note small amount of aspirated barium (curved arrow) in proximal trachea.

 

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