1 INTRODUCTION Direct laryngoscopy is mainstay in the workup of patients suffering from hoarseness. This examination usually give vital information in discriminating between functional complaints and anatomical abnormalities. In this case study, we present laryngoscopic findings and subsequent investigations of a rare cause of slowly progressive hoarseness. The differential diagnosis upon presentation included laryngocele, amyloidosis, papillomatosis, and squamous cell carcinoma.
