Laryngopyocele: a rare neck mass and an uncommon excision

Karna, Shravya; Guiney, Patrick; Flatman, Sam

doi:10.1111/ans.12940

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…The classification, management, and treatment of laryngoceles and saccular cysts have been separated in the literature, with the exception of few authors. 16…”

Section: Discussionmentioning

confidence: 99%

“…At a time before cross‐sectional imaging, DeSanto noted that asymptomatic large saccules were often misdiagnosed on x‐ray as laryngoceles, and he suggested that abandonment of the term laryngocele may improve classification. The classification, management, and treatment of laryngoceles and saccular cysts have been separated in the literature, with the exception of few authors 16 …”

Section: Discussionmentioning

confidence: 99%

“…The classification, management, and treatment of laryngoceles and saccular cysts have been separated in the literature, with the exception of few authors. 16 Forte et al produced a classification for supraglottic cysts in children, with importance placed on the germ layers included in the cyst, with mesodermal components heralding a diverticulum duplication anomaly of the larynx. 17 Cysts of mesoderm origin have not been documented in adults.…”

Section: Classifications and Pathogenesismentioning

confidence: 99%

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Laryngeal Cysts in Adults: Simplifying Classification and Management

Heyes¹,

Lott²

2017

Otolaryngol.--head neck surg.

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Objective Laryngeal cysts may occur at any mucosa-lined location within the larynx and account for 5% to 10% of nonmalignant laryngeal lesions. A number of proposed classifications for laryngeal cysts exist; however, no previously published classification aims to guide management. This review analyzes contemporary laryngeal cyst management and proposes a framework for the terminology and management of cystic lesions in the larynx. Data Sources PubMed/Medline. Review Methods A primary literature search of the entire Medline database was performed for all titles of publications pertaining to laryngeal cysts and reviewed for relevance. Full manuscripts were reviewed per the relevance of their titles and abstracts, and selection into this review was according to their clinical and scientific relevance. Conclusion Laryngeal cysts have been associated with rapid-onset epiglottitis, dyspnea, stridor, and death; therefore, they should not be considered of little significance. Symptoms are varied and nonspecific. Laryngoscopy is the primary initial diagnostic tool. Cross-sectional imaging may be required, and future use of endolaryngeal ultrasound and optical coherence tomography may revolutionize practice. Where possible, cysts should be completely excised, and there is growing evidence that a transoral approach is superior to transcervical excision for nearly all cysts. Histology provides definitive diagnosis, and oncocytic cysts require close follow-up. Implications for Practice A new classification system is proposed that increases clarity in terminology, with the aim of better preparing surgeons and authors for future advances in the understanding and management of laryngeal cysts.

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“…The classification, management, and treatment of laryngoceles and saccular cysts have been separated in the literature, with the exception of few authors. 16…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%