Abstract
Fibrolipoma is a benign mesenchymal tumor with a rare presentation in the aerodigestive tract. This lesion is characterized by a slow growth rate and symptoms such as dysphagia, dysphonia, and dyspnea due to the mass effect on neighboring structures. Achieving optimal surgical outcomes requires indirect laryngoscopy and imaging techniques such as computed tomography (CT) or magnetic resonance imaging (MRI), which provide useful information for a better understanding of the underlying pathology. Surgery is the treatment of choice, whether using an external or endoscopic approach. Complete excision of the lesion is essential because of the elevated risk of local recurrence. This case report presents a patient diagnosed with laryngeal fibrolipoma who underwent an external approach to the lesion, highlighting the need for a post-surgical follow-up due to the substantial risk of recurrence, even after prolonged disease-free intervals.