Laryngocele: A Rare Case Report and Review of Literature

Juneja, Ruchika; Arora, Nikhil; Meher, Ravi; Mittal, Pankhuri; Passey, Jigyasa; Saxena, Ashima; Bhargava, Eishaan Kamta

doi:10.1007/s12070-017-1162-x

Cited by 9 publications

(5 citation statements)

References 22 publications

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“… 10 Transoral robotic surgery represents a new therapeutic resource that allows better laryngeal exposure and, therefore, complete resection of the laryngocele, when compared with classical laryngeal microsurgery. 13 17 A 2020 review reported 18 combined laryngocele cases treated with TORS: 1 case had covering tracheotomy, 1 case had postoperative bleeding, and 5 cases needed nasogastric feeding postoperatively. 7 Therefore, even TORS is related to more or less serious complications, but they are rare; moreover, compared with CO2 laser, not all hospitals have a DaVinci Robot.…”

Section: Discussionmentioning

confidence: 99%

“… 16 Regarding combined laryngocele, a recent review reported the external approach as the most performed therapy. 17 Furthermore, since 2013, TORS has also been used for this type of laryngocele with satisfactory results. 7 18 However, the current literature is poor in studies about CO2 laser marsupialization as a single treatment for internal and combined laryngocele.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

CO2 Laser Marsupialization for Internal and Combined Laryngocele

Verro

Saraniti

2023

Int Arch Otorhinolaryngol

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“…Endoscopic microsurgery and CO2 laser application have become popular in the last two decades for internal laryngoceles (1,12). The surgical approach is related to the type and size of the formation.…”

Section: Discussionmentioning

confidence: 99%

“…Laryngocele is a marked expansion of Morgagni's ventricle, a part of the laryngeal duct between the true and the false vocal folds; it is filled with air and communicates with the lumen of the larynx. Laryngocele can be internal or combined (1). Most often, it is asymptomatic, but in some patients, due to its size, very difficult breathing occurs, and a tracheotomy may be required (2).…”

Section: Introductionmentioning

confidence: 99%

An unusual case of combined laryngocele presenting as cervical swelling

Jovanović¹,

Valjarević²,

Jovanovic³

2022

Medicinska istraživanja

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Laryngocele is a sac-like, pathological enlargement of the Morgagni's ventricle, which occurs between the true and false vocal cords. This change is filled with air and is continuous with the lumen of the larynx. It is usually asymptomatic and is accidentally detected during radiological diagnostics. We present the case of a 54-year-old patient who came for examination due to a painless swelling in her neck on the left side, which lasted for 8 months and increased upon Valsalva's maneuver. Occasionally the patient was hoarse. By clinical otorhinolaryngological examination and computed tomography of the neck and larynx, we found a cystic formation, filled with air, which extended above the larynx and spread to the side of the neck.The laryngocele was surgically removed using an external cervical approach. The neck of the laryngocele is sent through the thyroid membrane, while preserving the upper laryngeal nerve and the accompanying vascular stalk. Pathohistological examination revealed that the laryngocele consisted of respiratory layered cylindrical epithelium. Laryngocele should be taken into account in differential diagnosis of neck swelling.

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“…According to other clinical studies ( 1 , 4 ), males are about five times more likely than females to suffer from laryngocele. Scholars have reported a higher incidence of the condition throughout the fifth and sixth decades of life ( 5 ). Common clinical manifestations include hoarseness of the voice and swelling of the neck.…”

Section: Introductionmentioning

confidence: 99%

Laryngocele: Report of two rare cases and review of the literature

Zhang

et al. 2023

Exp Ther Med

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Laryngocele is a rare clinical condition characterized by an abnormal dilation of the laryngeal saccule. The present study focused on two separate cases of diagnosed patients. The first patient suffered from internal laryngocele and complained of hoarseness for almost 1 year. Plasma was used to treat the internal laryngocele and the outcomes were satisfying. The patient did not undergo any tracheostomy due to previous endoscopic surgery. The second patient included in the present study was diagnosed with mixed laryngocele and complained of swelling on the left side of the upper aspect of the neck with considerable pain for >1 month. The patient was prepped for excision by an external transcervical technique under general anesthesia. None of the two patients had any recurrence or other changes during follow-up. The purpose of reporting these two cases of laryngocele was to increase awareness of this condition. Surgery is still the first-line treatment for diagnosed cases, but with the advent of new microscopic techniques, the use of plasma in an inter-pharynx setting has become more common. The results observed after using plasma to treat one internal laryngocele may be relevant to better understanding the application of this method and confirm that it may be a new suitable approach to treat this condition.

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Laryngocele: A Rare Case Report and Review of Literature

Cited by 9 publications

References 22 publications

CO2 Laser Marsupialization for Internal and Combined Laryngocele

CO2 Laser Marsupialization for Internal and Combined Laryngocele

An unusual case of combined laryngocele presenting as cervical swelling

Laryngocele: Report of two rare cases and review of the literature

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