Combined laryngocele: benign but potentially fatal lesion of the larynx
DOI:
https://doi.org/10.34631/sporl.804Keywords:
laryngocele, neck swelling, dysphonia, dyspnea, airway obstructionAbstract
We present a case of a combined laryngocele with the purpose of alerting to the diagnosis and treatment of this laryngeal condition, which, although benign, can be associated with malignant neoplasms and, in rare cases, complicate with airway obstruction, asphyxia and death.
We describe the case of a 56-year-old male patient, with a personal history of tobacco abuse, who went to the emergency department with complaints of unilateral cervical swelling and dysphonia, with three months of evolution, and orthopnea. The physical examination revealed a 6 cm wide, cystic and reducible left upper cervical swelling, with a positive cough impulse and an increase in size after the Valsalva maneuver. Nasofibrolaryngoscopy revealed a submucosal swelling in the left ventricular region and aryepiglottic folds. Cervical MRI confirmed the presence of a large combined laryngocele. This lesion was successfully excised with an external cervical surgical approach.
References
Prasad KC, Vijayalakshmi S, Prasad SC. Laryngoceles – presentations and management. Indian J Otolaryngol Head Neck Surg. 2008 Dec;60(4):303-8. doi: 10.1007/s12070-008-0108-8.
Juneja R, Arora N, Meher R, Mittal P, et al. Laryngocele: A Rare Case Report and Review of Literature. Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):147-151. doi: 10.1007/s12070-017-1162-x Indian J Otolaryngol Head Neck Surg.
Keles E, Alpay HC, Orhan I, Yildirim H. Combined laryngocele: A cause of stridor and cervical swelling. Auris Nasus Larynx. 2010 Feb;37(1):117-20. doi: 10.1016/j.anl.2009.02.011.
Lam SY, Lau HY. A Rare Case of Laryngopyocele with Airway Obstruction. J Clin Imaging Sci. 2018 Nov 15;8:42. doi: 10.4103/jcis.JCIS_50_18. eCollection 2018.
Heyes R, Lott DG. Laryngeal Cysts in Adults: Simplifying Classification and Management. Otolaryngol Head Neck Surg. 2017 Dec;157(6):928-939. doi: 10.1177/0194599817715613.
Veloso-Teles R, Castro-Sousa A, Caselhos S, Estevão R et al. Laringocelo misto: Caso clínico e revisão da literatura. Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço. 2014 Mar; 52(1): 51-55. doi. 10.34631/sporl.108.
Oukessou Y, Abada RL, Roubal M, Mahtar M. Laryngocele: An unusual presentation. Eur Ann Otorhinolaryngol Head Neck Dis. 2015 Jun;132(3):177-8. doi: 10.1016/j.anorl.2015.03.002.
A Lancella, G Abbate, R Dosdegani. Mixed laryngocele: a case report and review of the literature. Acta Otorhinolaryngol Ital. 2007 Oct;27(5):255-7.
Töro K, Kardos M, Dunay G., Fatal asphyxia due to laryngomucocele. Forensic Sci Int. 2009 Sep 10;190(1-3):e1-4. doi: 10.1016/j.forsciint.2009.05.002.
Lisan Q, Hoffmann C, Jouffroy T, Hans S. Combined laser and robotic approach for the management of a mixed laryngomucocele. J Robot Surg. 2016 Mar;10(1):81-3. doi: 10.1007/s11701-015-0552-x.
Gal TJ, Hixon B, Zhang P. Transoral robotic resection of a combined laryngocele. J Robot Surg. 2017 Jun;11(2):263-266. doi: 10.1007/s11701-016-0666-9.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
