Benign mesenchymal tumors of the upper aerodigestive tract are very rare. In this localisation some tumors cause life-threatening upper airway obstruction. We report on a 42-year old man who complained dysphagia and globus sensation. The physical examination revealed a smooth tumor of the left aryepiglottic fold. A magnet resonance imaging (MRI) leaded to the suspicion of a laryngocele with extension in the left aryepiglottic fold. The therapeutical procedure included the microlaryngoscopical extirpation of the tumor with laser surgery. The histology showed a fibrolipoma of the larynx. Because of frequent recurrences even after an extended period of time long term follow-up is necessary.
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