Endoscopic CO&lt;sub&gt;2&lt;/sub&gt; Laser Surgery for Large Internal Laryngocele

Hirvonen, Timo

doi:10.1159/000055708

Cited by 11 publications

(3 citation statements)

References 6 publications

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“…It was performed in 24 cases. This technique is considered by many authors to be a quick, precise, and safe alternative to an external approach excision, with fewer complications than its external counterparts, resulting in speedier rehabilitation of both the patient and his or her voice [14, 17, 18, 21, 38, 41]. Moreover Devesa et al advocate using this technique for the treatment of combined laryngoceles [18].…”

Section: Discussionmentioning

confidence: 99%

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Zeleník

Staníková

Smatanová

et al. 2014

BioMed Research International

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Objectives. To review surgical techniques used in the treatment of laryngoceles over the last two decades and point out developments and trends. Materials and Methods. PubMed, the Cochrane Library, and the JBI Library of Systematic Reviews were searched using the term “laryngocele.” Demographic data, type of laryngocele, presence of a laryngopyocele, type of treatment and need for a tracheotomy were assessed. Results. Overall, data on 86 patients were analyzed, culled from 50 articles, of which 41 were case reports and 9 were case series. No single systematic review or meta-analysis or randomized controlled trial has been published on the topic. Altogether, 71 laryngoceles in 63 patients met the criteria for further analysis focusing on surgical treatment. An external approach was selected in 25/29 (86.2%) cases of combined laryngoceles. Microlaryngoscopic resection using a CO2 laser was performed in three cases and endoscopic robotic surgery in one case. The majority of patients with an internal laryngocele, 31/42 (73.8%), were treated using the microlaryngoscopy approach. Conclusions. Microlaryngoscopy involving the use of a CO2 laser has become the main therapeutic procedure for the treatment of internal laryngoceles during the past 20 years. An external approach still remains the main therapeutic approach for the treatment of combined laryngoceles.

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Section: Discussionmentioning

confidence: 99%

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Zeleník

Staníková

Smatanová

et al. 2014

BioMed Research International

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“…Reviewing the literature, we found few articles about marsupialization; however, it was performed only for internal laryngocele without recurrence. 11 12 24 25 Moreover, each author described only a case report in which surgery was performed with CO2 laser, microdebrider, or cold instrumentation. In turn, we reported 15 cases of internal and combined laryngocele (sometimes even bilateral and/or infected) treated with CO2 laser marsupialization without need for tracheotomy, postoperative complications and/or recurrence and with short hospitalization.…”

Section: Discussionmentioning

confidence: 99%

CO2 Laser Marsupialization for Internal and Combined Laryngocele

Verro

Saraniti

2023

Int Arch Otorhinolaryngol

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Introduction Laryngocele is an air-filled dilatation of the laryngeal saccule that can be classified according to its extent (internal, external, or combined) and contents (laryngocele or laryngopyocele). To date, there is no consensus on the best treatment for laryngocele. Objective The present study aims to demonstrate for the first time the effectiveness of CO2 laser marsupialization for internal and combined laryngoceles. Methods A retrospective study was accomplished in our ENT Clinic of the University Hospital, from 2010 to today, recruiting patients according to strict criteria. All patients had internal or combined laryngocele/laryngopyocele treated with CO2 laser marsupialization. Results A total of 15 patients were enrolled for a total of 17 laryngoceles; 66.67% of the patients were males and the mean age was 54.4 (±14.12) years old. Internal laryngoceles accounted for 64.71% of the total, and only 7 cases were laryngopyoceles. At the 3-year follow-up, no signs of recurrence were found. Conclusion CO2 laser marsupialization is efficacious in the treatment of laryngocele or laryngopyocele, both internal and combined, in terms of efficiency, safety, and fast postoperative recovery, without need for tracheotomy or open surgery.

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“…There have been cases in the literature where a laryngopyocoele has been managed with initial ultrasound-guided aspiration of the pus-filled cyst to relieve the acute symptoms with formal excision of the laryngocele at a later stage [11]. However, despite the fact that an endoscopic approach to noninfected internal laryngoceles has been established with very good results, there have not been any reports of laryngopyoceles being managed endoscopically [12, 13]. …”

Section: Discussionmentioning

confidence: 99%

Endoscopic Management of an Internal Laryngopyocele Presenting with Acute Airway Obstruction

Andreou

Randhawa

O’Flynn

et al. 2011

Case Reports in Surgery

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Statement of Problem. Laryngocele is a rare laryngeal disease, where there is an abnormal dilatation of the saccule of the laryngeal ventricle. It can either be internal or external, and a laryngopyocele is a rare complication of this anomaly. Internal laryngopyoceles can prove difficult to manage, as they often present with airway compromise. Method of Study. Case Report. Results. We present a case of a laryngopyocele that was successfully managed with suspension laryngoscopy and endoscopic marsupialisation and resection. To our knowledge, this is the first such case described in the literature. Conclusions. Surgical drainage of a laryngopyocele via the external approach is well documented in the literature. We feel that endoscopic resection of laryngopyoceles in an emergency situation is a viable alternative and also prevents the associated surgical morbidity.

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Endoscopic CO<sub>2</sub> Laser Surgery for Large Internal Laryngocele

Cited by 11 publications

References 6 publications

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

Treatment of Laryngoceles: What Is the Progress over the Last Two Decades?

CO2 Laser Marsupialization for Internal and Combined Laryngocele

Endoscopic Management of an Internal Laryngopyocele Presenting with Acute Airway Obstruction

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