IntroductionPyolaryngocele is a very rare and serious complication of laryngocoele. It can present as deep spaces neck infection and mislead the diagnosis. Our aim is to attract the intention of the surgeon to this unusual entity and describe its clinical features.Case summaryWe report a case of 45 years old male patient with five-week history of neck swelling, dysphonia, mild dyspnea and odynophagia. An urgent C.T scan showed a mixed pyolaryngocele. The management consisted high dose antibiotic and an excision of the residual laryngocoele via an external approach.Discussion and conclusionA pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. Excision of the laryngocoele, still the best treatment option to prevent this complication and recurrence.

HighlightsSchwannomas are well-differentiated solitary benign tumors that originate from the Schwann cells of the nerve sheath.They are rare, constitute 1–4% of the orbital tumors.Although it may be difficult to differentiate these benign masses from other orbital tumours on radiologic imaging.Aggressive surgery with total mass removal should be warned by early diagnosis.