{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T22:37:22Z","timestamp":1783550242177,"version":"3.55.0"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,7,20]]},"abstract":"<jats:p>A 56-year-old man presented with a 6-month history of progressively increasing neck swelling, dysphagia and hoarseness of voice. CT scan revealed multi-nodular goitre and also showed a lesion in the supraglottis. It also showed another lesion in the supraglottis. Fine-needle aspiration cytology of thyroid revealed follicular cells. Routine flexible laryngoscopy was performed to evaluate vocal cord function; however, we found a smooth well-defined lesion just above the glottis, obstructing the direct view of the vocal cords, and an endangered airway. A provisional diagnosis of a laryngeal cyst was made. With all necessary precautions intubation was performed with a bougie and a reinforced endotracheal tube was inserted. Total thyroidectomy was performed first. With direct suspension laryngoscopy an attempt was made to deliver the laryngeal lesion, however, the lesion could not be removed. A suprahyoid lateral pharyngotomy was performed to deliver the lesion. Histopathology of the lesion revealed hibernoma.<\/jats:p>","DOI":"10.1136\/bcr-2015-210976","type":"journal-article","created":{"date-parts":[[2015,8,6]],"date-time":"2015-08-06T03:48:31Z","timestamp":1438832911000},"page":"bcr2015210976","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Hibernoma larynx with large multinodular goitre: unusual airway challenge"],"prefix":"10.1136","volume":"2015","author":[{"given":"Haissan","family":"Iftikhar","sequence":"first","affiliation":[{"name":"Section of Otolaryngology, Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moghira Iqbaluddin","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Section of Otolaryngology, Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2015,8,6]]},"reference":[{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890090611"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.23460"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2013.07.006"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.4","first-page":"141","volume":"28","author":"Minni","year":"2008","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.5","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-200106000-00014"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.6","doi-asserted-by":"publisher","DOI":"10.1097\/00001665-200105000-00015"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.7","first-page":"1658","volume":"27","author":"da Motta","year":"2006","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025082706501878000_2015.aug06_1.bcr2015210976.8","first-page":"1154","article-title":"Pathology forum: quiz case 2. 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