Background: Adult laryngeal haemangiomas are rare vascular tumours that have been managed by a variety of surgical techniques.
Methods: This paper describes a case of near-fatal acute airway obstruction secondary to such a lesion, followed by our approach to surgical resection using a laparoscopic bipolar tissue-sealing device.
Results: This technique resulted in successful excision of the lesion, with no evidence of recurrence at one year of follow up.
Conclusion: Laparoscopic bipolar instruments can be used for the resection of moderate to large laryngeal haemangiomas as an alternative to laser excision.
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