Mixed laryngocele: Clinical case and literature review
DOI:
https://doi.org/10.34631/sporl.108Keywords:
Laryngocele, Saccular Cyst, Cervical Swelling, HoarsenessAbstract
Laryngocele is a rare clinical entity, characterized by an abnormal dilatation of the laryngeal saccule. It can be classified as internal, external or mixed, according to its extension: into the endolarynx, through the thyrohyoid membrane, or if both situations occur simultaneously. These lesions are usually asymptomatic but can sometimes cause relevant airway obstruction. We report a case of 37 years-old man who presented at the ENT outpatient clinic with hoarseness and right neck swelling for 6 months, associated with dysphagia and dyspnea on effort in the previous month. The diagnosis of Mixed Laryngocele was established clinically and imagiologically. It was excised using a transcervical lateral approach and the patient remains asymptomatic and without signs of recurrence one year after surgery. This case has been reported for its rarity, especially at this young age. A review of the literature is also presented.
References
-Reddy M, Ramakrishma C, Gupta M et al. Laryngocele- a case report and review of literature. Indian J Otolaryngol Head Neck Surg 2008;
:281-283.
-Pennings R, Hoogen F, Marres H. Giant Laryngoceles: a cause of upper airway obstruction. Eur Arch Otorhinolaryngol, 2001;258: 137-140.
-Swift A. Acute infections of larynx. Scott’s Brown Otorhinolaryngology, Head and Neck Surgery, 7th ed. Edward Arnold Publishers Ltd; 2008
-Gupta S, Goel A, Singh P. External Laryngocele. Indian Journal of Otolaryngology and Head and Neck Surgery, 1998; 50 (3): 298-391.
-Lancella A, Abbate G, Dosdegani R. Mixed Laryngocele: a case report and review of the literature. Acta Otorhinolaryngologica Italica,
;27: 255-257.
-Felix J, Felix F, Mello L. Laryngocele: a cause of upper airway obstruction. Rev Bras Otorrinolaringol, 2008;74(1): 143-6.
-Pinho M, Viana P, Omokawa M et al. External Laryngocele: sonographic appearance- a case report. Radiol Bras, 2007;40(4): 279-282.
-Dursun G, Ozgursoy O, Beton S et al. Current diagnosis and treatment of laryngocele in adults. Otolaryngol Head and Neck Surg,
;136: 211-215.
-Myssiorek D, Madnani D, Delacure M. The external approach for submucosal lesions of the larynx. Otolaryngol Head Neck Surg,
;125: 370-373.
-Thome R, Thome DC, De La Cortina RC. Lateral thyrotomy approach on the paraglottic space for laryngocele resection. Laryngoscope, 2000;110:447-50.
