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Laryngocele

Larynx Anomaly


Presentation

  • The details of the patients, such as age, gender, occupations, clinical presentations, imaging modalities and treatment options, are discussed. The common clinical presentations of laryngocele are hoarseness of voice and swelling in the neck.[ncbi.nlm.nih.gov]
  • We present a rare case of laryngocele occurring in a 77-year-old Caucasian woman. The patient presented with one month history of altered voice, no other associated symptoms were reported.[ncbi.nlm.nih.gov]
  • Abstract We present a case of laryngeal oncocytic cysts presenting as bilateral laryngoceles and surgical emphysema of the neck.[ncbi.nlm.nih.gov]
  • An instance of bilateral congenitally long saccules is also presented, and the role of this anomaly in the pathogenesis of laryngoceles is discussed.[ncbi.nlm.nih.gov]
  • We present an interesting case of bilateral laryngocele in a 45-year-old male presented clinically as hoarseness and left sided neck mass without any history of predisposing factors.[ncbi.nlm.nih.gov]
Asymptomatic
  • Abstract Since laryngoceles are usually asymptomatic, their incidence is probably higher than the literature suggests.[ncbi.nlm.nih.gov]
  • We present the case of a 45-year-old male patient with bilateral asymptomatic laryngocele and laryngeal squamous cell carcinoma.[ncbi.nlm.nih.gov]
  • Many laryngoceles are asymptomatic; sometimes they may cause a cough, hoarseness, stridor, sore throat and may present as a swelling on one or both sides of the neck. Laryngocele may be associated with supraglottic squamous cell carcinoma.[ncbi.nlm.nih.gov]
  • Clinical symptoms are rare, and the find of asymptomatic laryngoceles in pathology studies are frequent. Sometimes it is presented as cervical swelling causing airway obstruction in need of emergency intervention.[ncbi.nlm.nih.gov]
  • Although laryngocele is usually asymptomatic, greater numbers are being diagnosed because more patients suspected of head and neck cancer are undergoing sophisticated diagnostic radiographic procedures. Of 2,068 patients studied at M.D.[ncbi.nlm.nih.gov]
Recurrent Infection
  • In cases of recurrent infection, normal surgical planes are often fibrosed and obscured increasing the risk of neurovascular sacrifice and functional losses. We are reporting a case of recurrent infections in a large, palpable external laryngocele.[ncbi.nlm.nih.gov]
  • In cases of recurrent infection, normal surgical planes are often fibrosed and obscured increasing the risk of neurovascular sacrifice and functional losses.[experts.umn.edu]
  • 抄録 We report herein on a case of laryngocele with recurrent infection. A 48-year-old male complained of hoarseness and swelling of the left side of his neck.[jstage.jst.go.jp]
Limited Mobility
  • Space between the vocal cords is an estimated 50% of normal, because of the paralyzed right cord and the limited mobility of the left cord. Bilateral laryngocele, after removal (8 of 8) Same close-up view, but during phonation.[laryngopedia.com]
Sputum
  • A 70-year-old women presented with hoarseness, foul sputum, and a softneck mass. Clinical and radiographic examination disclosed findings consistent with a combined internal and external laryngopyocele.[ncbi.nlm.nih.gov]
Respiratory Disorders
  • Acromegalic patients have a reduced life expectancy mainly due to cardio-, cerebrovascular and respiratory disorders and increased prevalence of neoplasias. Particularly, the pathogenesis of respiratory disorders in acromegalics is debated.[ncbi.nlm.nih.gov]
Dyspnea at Rest
  • CASE PRESENTATION: A 46-year-old man presented with stridor, wheezing, dyspnea at rest, hoarseness evolving over two months, and cyanosis secondary to cervical swelling.[ncbi.nlm.nih.gov]
Sneezing
Ankylosis
  • Circulating GH and IGF-I hypersecretion caused edema and laxity of laryngeal mucosa as well as bilateral ankylosis of cricoarytenoidal joints. The use of CO2 laser technique via micro-laryngoscopy successfully resolved laryngeal abnormalities.[ncbi.nlm.nih.gov]
Suggestibility
  • Abstract Since laryngoceles are usually asymptomatic, their incidence is probably higher than the literature suggests.[ncbi.nlm.nih.gov]
  • Suggested etiologies include congenital enlargement of the saccule, weakness of laryngeal tissues, and increased intralaryngeal pressure. Only a few reports have described the late evolution of laryngocele following neck surgery.[ncbi.nlm.nih.gov]
  • The coexistence of carcinoma and laryngocele has been discussed often enough in the literature to suggest a direct relationship; however, this series yielded no substantive evidence to implicate laryngocele as a precursor of carcinoma.[ncbi.nlm.nih.gov]
  • An external approach is suggested for the more persistent cases.[ncbi.nlm.nih.gov]
  • They go on to suggest, for mixed laryngocele, a new technique of combined exheresis by way of the external lateral approach and laryngofissure.[ncbi.nlm.nih.gov]
Neck Swelling
  • Endoscopic vestibulectomy was performed with a carbon dioxide laser; neither residual neck mass nor a tract leading to the extralaryngeal neck swelling was detected. The immediate and long-term clinical course has been uneventful.[ncbi.nlm.nih.gov]
  • KEYWORDS: Layngocele, Neck swelling, Saccule, Ventricle of larynx.[slideshare.net]
  • Links: neck swellings derived from unpaired midline structures General Practice Notebook General Practice Notebook The information provided herein should not be used for diagnosis or treatment of any medical condition.[gpnotebook.co.uk]
  • Hoarseness and neck swelling were the most common symptoms.[mydigimag.rrd.com]
Confusion
  • While this caused some diagnostic confusion, the patient was managed conservatively with no further complications. Copyright 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.[ncbi.nlm.nih.gov]

Treatment

  • Imaging studies are essential for making diagnosis, determining the type, localization, extent of laryngocele and for treatment. Surgery is the treatment of choice in laryngocele.[ncbi.nlm.nih.gov]
  • Endoscopic laser surgery is an acceptable mode of treatment even for large internal laryngoceles as in the present case.[ncbi.nlm.nih.gov]
  • Surgery is the treatment of choice. A case of large mixed laryngocele in a 75-year-old male is described together with surgical management and followup. A review of the literature is also presented.[ncbi.nlm.nih.gov]
  • Correct diagnosis and proper treatment can preclude emergencies as it happened to our patient hereby reported.[ncbi.nlm.nih.gov]
  • Abstract Internal laryngoceles are relatively rare, and a variety of surgical treatments have been proposed. A case is presented which was treated by endoscopic microsurgical excision.[ncbi.nlm.nih.gov]

Prognosis

  • MRI Same morphological characteristics observed on CT, usually: T1: low signal T2: high signal T1C (Gd): absent-to-minimal linear peripheral enhancement; when thick enhancing walls are present, consider pyolaryngocele Treatment and prognosis Surgical[radiopaedia.org]
  • They are radiosensitive and have a relatively good prognosis.[asnr.org]

Etiology

  • We would like to mention that amyloidosis should be evaluated in the etiology of patients diagnosed as having a laryngocele.[ncbi.nlm.nih.gov]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development. In this study, we present a rare case of laryngocele occurring in a 72-year-old woman.[ncbi.nlm.nih.gov]
  • The etiology of laryngoceles is unclear, but congenital and acquired factors are considered to play a role in their development.[ncbi.nlm.nih.gov]
  • Suggested etiologies include congenital enlargement of the saccule, weakness of laryngeal tissues, and increased intralaryngeal pressure. Only a few reports have described the late evolution of laryngocele following neck surgery.[ncbi.nlm.nih.gov]

Epidemiology

  • Definitions, differential diagnosis, and epidemiology. Am J Surg Pathol 1996; 20(1):103-111. ‏ الصفحة 91 - Everett LA, Glaser B, Beck JC, Idol JR. Buchs A, Heyman M, Adawi F, Hazani E, Nassir E.[books.google.com]
Sex distribution
Age distribution

Pathophysiology

  • The pathophysiology was explained by the long history of tobacco smoking and the underlying chronic obstructive pulmonary disease with chronic cough.[ncbi.nlm.nih.gov]
  • The patient was then treated by endoscopic laser marsupialization and reviewed annually.We discuss the complications of tracheostomy and the pathophysiology of laryngoceles and in particular the likely aetiological factors in this case.[ncbi.nlm.nih.gov]
  • Pathophysiology: Factors that cause an increase in intra laryngeal pressure like coughing, straining, blowing wind instruments may cause laryngocele.[drtbalu.com]

Prevention

  • Careful dissection of the neck of a laryngocele sac is important to prevent damage to the neurovascular bundle.[ncbi.nlm.nih.gov]
  • The typical postradiation inflammatory changes involving the laryngeal appendix will be described to prevent misinterpretation of tumor recurrence. No References No Citations No Supplementary Data No Article Media No Metrics[ingentaconnect.com]
  • The neck of the saccule has been postulated to act as a one way valve allowing accumulation of air and preventing its egress. Clinical features: Mostly laryngoceles are incidentally discovered during routine laryngeal examination.[drtbalu.com]
  • Therefore, it allows dissection along the plane between the laryngocele and surrounding paraglottic tissue under direct vision, minimizes trauma to the surrounding laryngeal structures, and ensures resection of the entire laryngocele, thereby preventing[mydigimag.rrd.com]

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