Solitary True Vocal Cord Neurofibroma: An Unexpected Pathology

Laryngeal neurofibroma is a rare pathology, usually presents in patients with neurofibromatosis and the most common location being the supraglottis followed by the subglottic area. Our case presented with dysphonia and was found to have a unilateral vocal fold cystic lesion. Histopathological examination after surgical excision diagnosed the benign looking cyst as a neurofibroma of the vocal fold. This extremely rare pathology is only the third case reported in the published literature. Due to the rarity of this diagnosis and the limited clinical information about vocal fold neurofibroma in patients without neurofibromatosis, we are suggesting the possible management in similar cases and the importance of regular follow up taking in consideration the recurrence possibility.