Oncocytic lesions of the larynx are considered particularly rare. Different names for these lesions have been used as a result of various theories concerning their biologic nature which is still controversial. Most investigators interpret these lesions as oncocytic metaplasias of the mucous gland cells in the larynx connected with senile involution of the upper respiratory tract with or without hyperplasia rather than true neoplasias. They are benign lesions, comprising 0.5 to 1% of all laryngeal mucosal changes, with a tendency to multifocal involvement occurring in patients over 50 years of age. Surgical excision is the treatment of choice. A case is reported.