Cavernous hemangioma of hypopharynx and oropharynx is a very rare disease. The symptoms vary depending upon the size, location, degree of ulceration and secondary infection of the mass. Several lesions obstructing the upper airway to differentiate the hypopharyngeal hemangioma are retropharyngeal hematoma, retropharyngeal abscess, lipoma, neulilemmoma, neurofibroma hemangioendothelioma, large pedunculated laryngeal polyp, esophageal polyp and carcinoma. Treatment of the hypopharyngeal hemangioma are ① conservative ② radiotherapy ③ sclerosing agent ④ embolization ⑤ cryosurgery ⑥ CO₂ laser ⑦ steroid ⑧ surgical removal and the combination of above procedures. Recently we have experienced a case of huge cavernous hemangioma originated from the medial wall of left pyriform sinus and removed sucessfully with suspension laryngoscopy. We report this case with review of literatures.