患者女，５４岁，因反复咽喉痛３年，以复发性咽喉溃疡来诊，对症消炎治疗后疼痛稍缓解，１年来咽痛时常伴有吸气性呼吸困难，无声音嘶哑及吞咽困难。入院查体见咽后壁、会厌谷、双侧杓会厌皱襞粘膜有数个椭圆形小溃疡且粘膜增厚，会厌形态僵硬、卷曲、抬举差，呈瘢痕样，声门 The female patient, 54 years old, was diagnosed with recurrent aphthous throat for 3 years because of repeated sore throat. The pain relief after symptomatic anti-inflammatory treatment was slightly relieved. Sore throat was often accompanied by aspiration dyspnea during one year, with no hoarse voice and difficulty swallowing. Admission examination see the posterior pharyngeal wall, epiglottis Valley, bilateral scapulohumeral obscurus mucosa several oval small ulcers and mucosal thickening, epiglottis rigid, curly, lifting poor, scar-like, glottis