*Winner, Philippine Medical Association National Case Report Contest 2004, PMA Annual Convention, Manila Hotel, Philippines Introduction Snoring in the adult has always been thought of as a benign condition, more of a nuisance than a medical problem. But if it is heard from a child, it is thought of as a significant indicator of an underlying pathology that needs to be looked into. Literature commonly associates it with Obstructive Sleep Apnea (Ejercito, 1995; Krespi and Kacker, 2003). Specifically, it has been attributed to anatomic abnormalities such as a large lingual tonsil (Dundar, et al, 1996), laryngomalacia (Chetty, et al, 1994), and epiglottic prolapse (Woo, 1992). Other reported conditions include obesity, nasal obstruction (Chen and Kushida, 2003), unfavorable tongue to mandible relationship, pharyngeal hypotonia and pharyngeal space occupying tumors1. There has been no report attributing it to a laryngeal mass like the case presented. This is a case report of a 3-year...