목적: Laryngeal abscesses are rare in the modern antibiotic era. 방법:This report presents a novel case of an epiglottic abscess in a patient with diabetes who developed respiratory distress and was managed by awake intubation in the emergency room followed by transoral incision and drainage of the abscess and tracheostomy. 결과:Full recovery after 1 week of intravenous antibiotic treatment was observed. Surgical intervention is necessary for treatment and culture-directed antimicrobial therapy. 결론:Poorly controlled diabetes is a newly described risk factor for spontaneous epiglottic abscess development.