Schwannomas are benign tumors arising from Schwann cells of cranial, peripheral, and autonomic nerves. The 25%-45% of all schwannomas occur in the head and neck region, but the laryngeal localization is rare. 1-3 They usually arise from branches of the superior laryngeal nerve, developing in the supraglottic region. 4,5 Recurrent laryngeal nerve schwannomas are even more uncommon with only eight cases reported in the English literature. 6-13 Recurrent laryngeal schwannomas usually present as insidious, slow-growing, submucosal masses located in the posterior paraglottic space, clinically associated with dysphagia, dysphonia, dyspnea, or stridor. Preoperative diagnosis is possible on the basis of clinical findings and imaging. Radical surgical excision with minimal injury to uninvolved surrounding areas is considered the treatment of choice, but there are currently no guidelines. The external approach is the most widely described technique for large lesions, while the endoscopic management, with or without laser, is generally proposed for smaller tumors confined in the glottic or supraglottic region. 4,5,14 The authors report a case of transoral-transpharyngeal CO 2 laser en bloc excision of a voluminous schwannoma of the intralaryngeal portion of the recurrent laryngeal nerve, along with the review of the pertinent literature.