Liposarcomas of the Head and Neck region are rare. Laryngeal liposarcomas are even rarer with only 40 reported cases in the world literature. However, dedifferentiated laryngeal liposarcomas are even scarce. These tumours are often misdiagnosed and mistreated as other tumours, in some cases even benign lipomas. There is no reported case of high gradededifferentiated laryngeal liposarcomas from the Caribbean countries. We report the first case of a dedifferentiated laryngeal liposarcoma from the Caribbean with up to date literature search and its management options are outlined.