A case of mixed type laryngocele presented with deep neck infection and review of the literature

Abstract

Laryngocele is an abnormal dilatation of the laryngeal ventricular saccule that may extend into the subcutaneous tissues of the neck through the thyrohyoid membrane or confined to the endolarynx. The etiology is still unclear. Many laryngoceles are asymptomatic. An asymptomatic laryngocele appears and produces symptoms only as it enlarges or when it becomes infected. In this report, we present a 40-year-old female patient, which had an asymptomatic neck swelling for 20 years, referred for deep neck infection, dysphonia and dyspnea.

Keywords

• Larynx, laryngocele, laryngopyocele, neck mass

Derin boyun enfeksiyonu ile bulgu veren mikst tip laringosel olgusu ve literatür değerlendirmesi

Öz

Laringosel, laringeal ventrikül sakkülünün hava ile anormal genişlemesi olup tirohyoid membrandan boyun cilt altı dokulara uzanabilir veya larinks içinde sınırlı kalabilir. Etiyolojisi net değildir. Laringosellerin birçoğu asemptomatiktir. Asemptomatik laringosel çok büyüdüğünde veya enfekte olduğunda belirginleşir ve semptomlar ortaya çıkar. Bu yazıda 20 yıldır boyunda asemptomatik şişliği olan, bu zamana kadar herhangi bir şikayeti olmamasına rağmen şimdi derin boyun enfeksiyonu, ses kısıklığı ve solunum sıkıntısı şikayetleri ile başvuran 40 yaşındaki bayan bir olgu sunulmuştur.

Anahtar Kelimeler

• Larinks, laringosel, laringopyosel, boyun kitlesi.

Kaynakça

1. Stell PM, Maran AG. Laryngocoele. J Laryngol Otol 1975;89(9):915-24.
2. Amin M, Maran AG. The aetiology of laryngocoele. Clin Otolaryngol Allied Sci 1988; 13(4):267-72.
3. Cassano L, Lombardo P, Marchese-Ragona R, Pas- tore A. Laryngopyocele: three new clinical cases and review of the literature. Eur Arch Otorhinolaryngol 2000;257(5):507-11.
4. Akbas Y, Unal M, Pata YS. Asymptomatic bilateral mixed-type laryngocele and laryngeal carcinoma. Eur Arch Otorhinolaryngol 2004;261(6):307-9.
5. Isaacson G, Sataloff RT. Bilateral laryngoceles in a young trumpet player: case report. ENT Journal 2000;12(2):272-3.
6. Lancella A, Abbate G, Dosdegani R. Mixed laryngo- cele: a case report and review of the literature. Acta Otorhinolaryngol Ital 2007;27(5):255-7.
7. Vasileiadis I, Kapetanakis S, Petousis A, Stavrianaki A, Fiska A, Karakostas E. Internal laryngopyocele as a cause of acute airway obstruction: an extremely rare case and reviewof the literature. Acta Otorhinolaryn- gol Ital 2012;32(1):58-62.
8. Upile T, Jerjes W, Sipaul F, El Maaytah M, Singh S, Howard D, et al. Laryngocele: a rare complication of surgical tracheostomy. BMC Surg. 2006; 27;6(1):14-5.

9. Rosen CA, Simpson CB (2008). Operative Techniques in Laryngology. Springer-Verlag, Berlin
10. Celin SE, Johnson J, Curtin H, Barnes L. The associa- tion of laryngocele with squamous cell carcinoma of the larynx. Laryngoscope 1991;101(4):529-36
11. Close LG, Merkel M, Burns DK, Deaton Jr. CW, Schaefer SD. Asymptomatic laryngocele: incidence and association with laryngeal cancer. Ann Otol Rhi- nol Laryngol 1987;96(3):393-9
12. Pennings RJ, van den Hoogen FJ, Marres HA. Gi- ant laryngoceles: a cause of upper airway obstruction. Eur Arch Otorhinolaryngol. 2001;258(3):137-40
13. Fraser L, Pittore B, Frampton S, Brennan P, Puxeddu R. Laryngeal debridement: an alternative treatment for a laryngopyocele presenting with severe airway ob- struction. Acta Otorhinolaryngol Ital. 2011;31(2):113-7
14. Nazaroglu H, Ozates M, Uyar A, Deger E, Simsek M. Laryngopyocele: signs on computed tomography. Eur J Radiol 2000;33(1):63-5
15. Micheau C, Luboinski B, Lanchi P, Cachin Y. Relation- ship between laryngoceles and laryngeal carcinomas. Laryngoscope 1978;88(6):680-8
16. Dursun G, Ozgursoy OB, Beton S, Batikhan H. Cur- rent diagnosis and treatment of laryngocele in adults. Otolaryngol Head Neck Surg 2007;136(2):211-5
17. Matino Soler E, Martinez Vecina V, et al. Laryngocele: clinical and therapeutic study of 60 cases. Acta Otor- rinolaringol Esp 1995;46(2):279-86.