Key Points
- Sarcoidosis is a multisystemic inflammatory disease with ENT
manifestations present in 10-15% of patients, often as a presenting
feature.
- Diagnosis typically requires evidence of non-caseating granulomata and
prognosis is favourable with treatment.
- ‘Turban-shaped’ epiglottis and restricted glottic mobility is observed
on endoscopic examination of laryngeal sarcoidosis, where treatments
include Speech and Language Therapy (SLT), intralesional injection,
dilatation and tissue reduction surgery.
- Sinonasal sarcoidosis is staged according to location and severity of
disease, which guides treatment options, including intranasal,
intralesional and systemic treatments, separately or in combination
with topical, nasal and intralesional corticosteroid, and endoscopic
sinus surgery.
- Otologic sarcoidosis is difficult to diagnose but responds well to
oral or intralesional corticosteroid therapy.