Introduction: Laryngeal involvement in rheumatoid arthritis is well known and the fixation of the cricoarytenoid joints is the most common manifestation. Nevertheless, rheumatoid nodules are very rare. Objective: To describe a case of rheumatic cysts of larynx, reporting the diagnosis, treatment and follow-up. Case report: A 35-year-old woman with progressive airway obstruction for 2 years, without any pulmonary disease, presented a few masses on supraglottic area which revealed to be rheumatic nodules. After their complete removal, patient was free of symptoms. Conclusions: This multiple nodules with cystic aspect in the larynx provoked severe airway obstruction and immobilization of the cricoarytenoid joint.