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K Topal, K Kilic, M S Sakat, E Altas, H Ucuncu
Laryngocele is an abnormal cystic dilatation of the saccule or appendix of the laryngeal ventricle filled with air and connected to the lumen of the larynx. They rarely cause clinical complaints. But still being rare clinical occasions, they may cause airway obstruction which required emergency interventions. In this report we presented an extremely rare case of laryngocele which causes airway obstruction. A 35-year old male was admitted due to hoarseness, progressive respiratory distress and swelling at the right side of the neck for three years...
February 22, 2016: West Indian Medical Journal
Abrar A Suqati, Ameen Z Alherabi, Osama A Marglani, Tariq O Alaidarous
Laryngocele is an uncommon condition that represents a benign dilatation of the laryngeal saccule with air and/or fluid, arising in the region of the laryngeal ventricle. Laryngoceles, or laryngomucocele can be classified as internal, or combined. The aim of presenting this rare case of a bilateral combined laryngocele, are to emphasize the importance of diagnostic laryngoscopy in upper airway pathologies evaluation, increase awareness in the general otolaryngologist community, and to highlight the external surgical method...
August 2016: Saudi Medical Journal
Alexandre Villeneuve, Sébastien Vergez, David Bakhos, Emmanuel Lescanne, Eric Pinlong, Sylvain Morinière
: We herein report our experience with the management of laryngoceles using transoral robotic surgery (TORS). A bicentric retrospective study was conducted from November 2009 to September 2015. The inclusion criteria were treatment of a laryngocele by TORS and no malignancy on definitive histopathology. Surgery was performed using the Da Vinci (Intuitive(®)) surgical robot. Surgical methods and post-operative outcomes were evaluated. Eight patients (four men and four women) presenting with a laryngocele (one bilateral case) were included (mean age 61...
June 29, 2016: European Archives of Oto-rhino-laryngology
Fatma Tülin Kayhan, Selçuk Güneş, Arzu Karaman Koç, Ayşe Pelin Yiğider, Kamil Hakan Kaya
OBJECTIVES: Laryngoceles are air-filled sacs which communicate with the laryngeal lumen. When filled with mucus or pus, they are called laryngomucoceles and laryngopyoceles, respectively. Transoral robotic surgery (TORS) is a new and remarkable technique that expands its usefullness in otorhinolaryngology. Conventional treatments for laryngoceles were previously performed using external approaches, with aesthetically unfavorable and less function-sparing results. Transoral laser microsurgical approaches for laryngoceles were seldom reported...
June 2016: Journal of Craniofacial Surgery
Takeshi Kusunoki, Ryo Wada, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Katsuhisa Ikeda
We experienced two rare cases with laryngeal cystic lesions (laryngocele and laryngeal cyst). In the first case, the laryngocele case was removed by laryngomicrosurgery using an oral approach under general anesthesia. In the second case, the magnetic resonance imaging demonstrated a dumbbell-type cyst with mucus widely extending from the laryngeal lumen to the neck through the thyroid cartilage. The patient had undergone chemotherapy for renal carcinoma with multiple lung and bone metastases. Therefore, we performed only fine needle aspiration rather than aggressive surgery for extirpation of the cyst using an external approach...
March 25, 2016: Clinics and Practice
Eirini Zagkou, Thomas Aldridge, Peyman Alam, Peter A Brennan
We present a rare, and to the best of our knowledge, previously unreported complication of the spontaneous rupture of an internal laryngocele after a routine neck dissection for metastatic squamous cell carcinoma. While this caused some diagnostic confusion, the patient was managed conservatively with no further complications.
March 30, 2016: British Journal of Oral & Maxillofacial Surgery
Oleksandr Butskiy, Donald W Anderson
BACKGROUND: Air travel mostly causes minor ear, nose and throat complaints. We describe a second report in literature of airway obstruction caused by a drop in atmospheric pressure during a routine commercial flight. CASE PRESENTATION: A 54-year-old male was referred to a head and neck surgeon with a 2 cm left submandibular mass that would enlarge during commercial flights. As the plane gained elevation, the mass would grow and cause him to become stridorous and short of breath...
2016: Journal of Otolaryngology—Head & Neck Surgery
Aaron J Feinstein, Kevin A Peng, Sunita M Bhuta, Elliot Abemayor, Abie H Mendelsohn
OBJECTIVE: To describe an experience with laryngeal oncocytic cystadenomas and review the published literature regarding this uncommon diagnosis. METHODS AND RESULTS: A clinical review of patients presenting with cystic laryngeal masses in an urban academic medical center between January and December 2013 was performed. Three patients, two female and one male, with a mean age of 68 years, were diagnosed with oncocytic cystadenomata of the larynx. Major presenting symptoms included dysphonia, globus, and ipsilateral otalgia...
January 2016: American Journal of Otolaryngology
Q Lisan, C Hoffmann, T Jouffroy, S Hans
Treatment of laryngoceles is surgical resection, through an external approach for external laryngoceles and through an endoscopic approach for internal laryngoceles. We report the first case of a mixed laryngomucocele treated with transoral robotic surgery. A patient presented with a history of chronic cough. Nasolaryngoscopy showed a sub-mucosal swelling into the larynx. Computed tomography confirmed the diagnosis of a right mixed laryngomucocele. A transoral robotic- and laser-assisted surgery was performed...
March 2016: Journal of Robotic Surgery
Richard Fox, Krishan Ramdoo, Taran Tatla
A laryngocele is a rare benign dilatation of the laryngeal saccule and may have internal, external or combined components presenting a therapeutic dilemma to otolaryngologists. An external approach (by laryngofissure or lateral thyroidotomy) is favoured for larger and external laryngoceles(1) . Advances in surgical technology have enabled internal laryngoceles to be resected endoscopically(2) , utilising the CO2 laser(3) . Magnification and precise laser dissection through a minimally invasive approach allows for safer surgery and quicker recovery...
November 19, 2015: Clinical Otolaryngology
Neeraj Prasad, Mohinder Singh, Rupesh Nagori, Supreet Singh
Laryngocele is a rare, benign dilatation of the laryngeal saccule that may extend internally into the airway or externally through the thyrohyoid membrane. When it is secondarily infected, it is called laryngopyocele, which is even rarer. 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. Computed tomography scan is the most effective imaging method for diagnosis...
September 2015: International Journal of Applied and Basic Medical Research
Jiang Shan, Wu Yinghui, Liu Xin
No abstract text is available yet for this article.
April 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Rumi Ueha, Takaharu Nito, Takashi Sakamoto, Yoko Fujimaki, Akihito Yamauchi, Tatsuya Yamasoba
Various surgical approaches for the treatment of laryngeal submucosal tumors have been reported. Endoscopic excision is indicated for small lesions, while external approaches are recommended for larger tumors. This report introduces a supra-thyroid alar cartilage approach (STACA), which has strong advantages for the preservation of the laryngeal framework and voice recovery after surgery. Case series with chart review. Four patients with laryngeal submucosal tumors in the paraglottic space underwent complete tumor removal through STACA...
October 2015: European Archives of Oto-rhino-laryngology
Migie Lee, Malcolm A Buchanan, Faruque Riffat, Carsten E Palme
BACKGROUND: Transoral laser microsurgery (TLM) of the glottis is increasingly utilized in the current management of early glottic cancer, its advantages being administrative ease, potential to be repeated, ability to keep radiotherapy and open laryngeal surgery available as salvage options, and low complication rates. METHODS: A retrospective chart review of prospectively gathered data on all patients over a 10-year period who had undergone TLM for Tis or early (T1-2) glottic squamous cell carcinomas (SCCs) was analyzed to examine the complications experienced...
April 2016: Head & Neck
Márcia Monteiro Pinho, Jair de Carvalho E Castro, Rosana Grandelle Ramos
Introduction Rhabdomyoma is a rare benign tumor derived from skeletal muscles. Laryngeal rhabdomyomas are even rarer, with only approximately 40 reported cases in world literature. Laryngeal rhabdomyomas usually are seen as masses covered by mucosa. They are often solitary asymptomatic tumors, but symptoms such as hoarseness can occur. The radiologic features are usually those typical of benign neoplasms, showing well-delineated borders. The differential diagnoses for laryngeal masses include cysts, laryngoceles, and benign and malignant neoplasms...
October 2013: International Archives of Otorhinolaryngology
Hakan Taskinlar, Yusuf Vayisoglu, Dincer Avlan, Ayse Polat, Ali Nayci
Congenital laryngoceles are defined as cystic dilatation of laryngeal saccules and are an extremely rare cause of newborn respiratory distress. A laryngomucocele occurs when the neck of the laryngocele gets obstructed and fills with the mucoid secretions of the saccule. It may cause stridor, respiratory distress, and severe airway obstruction in the narrow airway of a newborn and necessitates urgent surgical intervention. There is only 1 case of congenital laryngomucocele reported in an autopsy examination in the English literature, and here we report the first living congenital laryngomucocele case and discuss the clinical approach...
May 2015: Journal of Craniofacial Surgery
Marianne Rohde, Jytte Banner, Roger W Byard
A review was undertaken of the range of possible congenital lesions of the major airways and adjacent tissues that may cause critical compromise of luminal diameter with resultant respiratory arrest from airway occlusion. Lesions included micrognathic syndromes, macroglossia, choanal atresia and stenosis, tumors and choristomas, posterior lingual masses, laryngeal atresia and stenosis, laryngeal webs, laryngeal cysts and laryngoceles, laryngomalacia, tracheomalacia, and bronchomalacia. An autopsy approach to possible congenital obstructive lesions of the upper airway requires: (1) review of the clinical and family histories looking specifically at the nature of the terminal episode; (2) external examination looking for dysmorphic syndromes with mandibular or mid-facial hypoplasia; and (3) internal examination with layer dissection of the soft tissues of the neck and en bloc removal of the upper aerodigestive tract, with photographic recording and histological sampling...
June 2005: Forensic Science, Medicine, and Pathology
Rachel Edmiston, Ahmad Hariri, Yakubu Karagama
Bilateral neck swelling in patients following valsalva manouveres could lead to a diagnosis of either a pharyngocele or laryngocele. Distinguishing between them can be complicated but is vital given the possibility for an acute airway in patients with laryngoceles. A 20-year-old trumpet player presents with a 5-year history of neck swelling. Clinical suspicion is that of a pharyngocele but imaging introduces some confusion with the diagnosis. Both pharyngoceles and laryngoceles can occur as a result of prolonged positive pressure...
2015: BMJ Case Reports
Santosh Kumar Swain, Krishna Chandra Mallik, Satyajit Mishra, Mahesh Chandra Sahu
OBJECTIVES: To study the details of clinical profile and management of laryngocele at a tertiary care teaching hospital of eastern India. STUDY DESIGN: A prospective study. Case series of six patients of laryngocele. METHODS: Six patients of laryngocele were examined at the Outpatient Department of ENT of Institute of Medical Sciences & SUM Hospital, Bhubaneswar, Odisha, India, between August 2010 and January 2014. The details of the patients, such as age, gender, occupations, clinical presentations, imaging modalities and treatment options, are discussed...
July 2015: Journal of Voice: Official Journal of the Voice Foundation
Virender Malik, Abha Kumari, Tvsp Murthy
Internal jugular vein (IJV) phlebectasia is rare in occurrence and is frequently misdiagnosed and managed inappropriately. It commonly presents as a unilateral neck swelling which typically increases in size with valsalva maneuver. Although, the most common cause of a focal neck swelling, which increases in size with valsalva maneuver is laryngocele, the possibility of phlebectasia of IJV should always be borne in mind, especially in child. Owing to the rarity of this condition, a high index of suspicion is required to recognize the same and managed appropriately...
January 2015: International Journal of Applied and Basic Medical Research
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