Current diagnosis and treatment of laryngocele in adults

Dursun, Gürsel; Özgürsoy, Ozan Bağış; Beton, Süha; Batikhan, Hunkar

doi:10.1016/j.otohns.2006.09.008

Cited by 79 publications

(86 citation statements)

References 19 publications

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“…It may be asymptomatic in a majority of patients, but can present with hoarseness, dysphonia, cough, airway obstruction, difficulty in swallowing and neck mass. 2 Virchow described the laryngocoele in 1867. The incidence is estimated to be 1 per 2.5 million of the population per year.…”

Section: Discussionmentioning

confidence: 99%

“…Laryngocele can present with hoarseness, dysphonia, airway obstruction, difficulty in swallowing and neck mass. 2 It is important to note that laryngocoele may concomitantly be harboring malignancy specially if a patient is of old age and is a smoker. In such conditions the examiner should perform a comprehensive head neck examination to asses for laryngeal malignancy.…”

Section: Introductionmentioning

confidence: 99%

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Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

Dwivedi

Gupta

Singh

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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<p>Laryngocoele is an abnormal dilatation of the laryngeal saccule. It is a rare entity. Patient generally presents with hoarseness, dysphagia, dyspnea, foreign body sensation in throat and swelling in the neck. It is a benign condition, however the risk of malignancy is always associated with it, especially, if a patient is smoker or tobacco chewer. Once the diagnosis is established, laryngocoele are best treated by surgery.<strong> </strong>We present a rare case of combined laryngocoele in a 62 year old male patient, a chronic smoker, with history of recurrent swelling in neck right side for 2 years and hoarseness for duration of 1 month. It was a diagnostic dilemma as to what we were dealing with, a benign condition or malignancy. Eventually patient underwent excision by external approach. Resected specimen histo-pathological examination was consistent with laryngocoele. Post excision his normal voice was also restored.</p>

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

Dwivedi

Gupta

Singh

et al. 2017

Int J Otorhinolaryngol Head Neck Surg

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“…Traditionally, laryngoceles have been treated via an external approach for large or external cases utilizing a horizontal skin incision from the medial border of the sternocleidomastoid muscle to the midline at the superior level of the thyroid cartilage. Dissection is continued through the strap muscles to reveal the capsule of the laryngocele and is continued along the neck of the laryngocele, along the thyrohyoid membrane, extending to the surrounding paraglottic tissue until totally removed [13]. Endoscopic management is the preferred modality for internal variants.…”

Section: Discussionmentioning

confidence: 99%

“…Resection is performed utilizing a CO 2 laser following protection of the false vocal fold ipsilateral to the laryngocele. Following an incison to the superior surface of the false vocal fold, the limits of the laryngocele are identified and the laser is used to dissect the lesion from the surrounding paraglottic tissue [13]. …”

Section: Discussionmentioning

confidence: 99%

Bilateral Laryngoceles

Werner

Schroeder

Castle

2013

Head and Neck Pathol

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A 63-year old male with a prior history of anterior cervical discectomy and fusion presented with complaints of gradual dysphagia with occasional regurgitation of undigested food and primarily a right neck swelling. Radiographic FeaturesAxial computed tomography (CT) imaging (Fig. 1) demonstrated bilateral, cystic, air filled lesions extending into the soft tissues of the neck, with the right (4.8 9 2.5 9 4.5 cm) larger than the left (1.3 9 1.1 9 1.2 cm), each fully pneumatized without fluid collection. No nodularity was associated with the walls of either and no associated mass lesion was present about the laryngeal ventricles. The right lesion showed extension through the thyrohyoid membrane with mass effect upon the supraglottic larynx, and the left showed sole placement within the soft tissues of the neck. Regionally, no additional mass lesions or adenopathies were identified. Changes of the prior C3 through C7 cervical spine fusion were observed. No mass lesion was present at either lung apex (Fig. 2). DiagnosisThe hematoxylin and eosin (H&E) stained sections obtained from the right-sided lesion revealed a complex cystic structure of respiratory type epithelium composed of psuedostratified ciliated epithelium of varying thickness set against a background of variably dense, chronically-inflamed fibrous connective tissue (Fig. 3). The left sided lesion (Figs. 4,5) showed prominent respiratory-type epithelium lining the cystic areas as well as adjacent mature adipose tissue, seromucous glands, and prominent vascularity observed in the periphery. The combination of imaging studies, histology and location confirmed a diagnosis of bilateral laryngoceles.

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“…El laringocele es una dilatación anormal del sá-culo laríngeo que puede estar lleno de aire, mucus o pus 1 . Su etiología no es clara, pero pareciera deberse a un aumento de la presión intralaríngea, favorecida por actividades que requieran soplar a altas presiones en forma prolongada, tos crónica, alteraciones anatómicas y carcinoma laríngeo 2 .…”

Section: Discussionunclassified

Laringocele como diagnóstico diferencial de quiste tiroideo

et al. 2011

Rev Chil Cir

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Laryngocele as a differential diagnosis of a thyroid cystA cervical mass is a usual complaint within the clinical practice. Among possible causes, thyroid cysts and nodules are frequent fi ndings. However, there are differential diagnoses that arise from neighboring structures, which can be diffi cult to assess. We report an 18 years old male presenting with a cervical mass, clinically and ecographically suggestive of a right thyroid cyst. Fine needle aspiration was negative for neoplastic cells. Within surgery a paratracheal lesion was identifi ed and resected. The histological fi ndings were compatible with a laryngocele. A laryngocele is an abnormal dilatation of the laryngeal sacule that can simulate a thyroid cyst. Computarized tomography and magnetic resonance are of great importance in its diagnosis, but sometimes is found within surgery or in the anatomopathologic study.Key words: Laryngocele, thyroid cyst, differential diagnosis. ResumenLas masas cervicales son un motivo de consulta usual dentro de la práctica clínica. Dentro de estas, los nódulos y quistes de origen tiroideo son hallazgos frecuentes. Aún así, existen diagnósticos diferenciales originados de estructuras vecinas a la glándula tiroides, cuyo diagnóstico inicial es difícil. Presentamos el caso de un varón de 18 años con una masa cervical derecha, clínica y ecográfi camente sugerente de un quiste tiroideo. La punción-aspiración con aguja fi na fue negativa para células neoplásicas. En el intraoperatorio se identifi có una lesión paratraqueal derecha que fue resecada. El diagnóstico histológico fue compatible con un laringocele. El laringocele es una dilatación anormal del sáculo laríngeo que puede simular un quiste tiroideo. La tomografía computarizada y la resonancia magnética son de gran utilidad en su diagnóstico, pero en ocasiones éste se realiza en el intraoperatorio o mediante el estudio anatomopatológico.Palabras clave: Laringocele, quiste tiroideo, diagnóstico diferencial.

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Current diagnosis and treatment of laryngocele in adults

Cited by 79 publications

References 19 publications

Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

Bilateral Laryngoceles

Laringocele como diagnóstico diferencial de quiste tiroideo

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