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Updated: May 6, 2026
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Published on: December 1, 2023
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Bilateral internal laryngoceles mimicking asthma
Elif A Aksoy1, Cağdaş Elsürer, Gediz M Serin
1Department of Otorhinolaryngology Head and Neck Surgery, Acıbadem University School of Medicine, Turkey.
Summary
Internal laryngoceles, rare airway dilations, can mimic asthma symptoms. Surgical excision of these laryngeal saccule dilations offers immediate symptom relief.
Area of Science:
- Otolaryngology
- Respiratory Medicine
Background:
- Laryngocele is an abnormal dilation of the laryngeal saccule, potentially causing upper airway obstruction.
- Misdiagnosis as common respiratory conditions like asthma can delay appropriate treatment.
Observation:
- A 43-year-old male presented with dyspnea, cough, and stridor, misdiagnosed as asthma for four years.
- Flexible nasopharyngolaryngoscopy revealed bilateral cystic enlargements obscuring the vocal folds.
- Laryngeal CT confirmed bilateral internal laryngoceles.
Findings:
- Submucosal total excision of the bilateral cystic masses was successfully performed.
- Immediate resolution of respiratory symptoms, including stridor, was observed post-surgery.
Implications:
- Internal laryngocele is a rare but significant cause of upper airway issues that requires consideration in differential diagnoses.
- Flexible nasopharyngolaryngoscopy is crucial for evaluating airway problems in at-risk patients.
- Prompt diagnosis and surgical intervention can effectively resolve symptoms associated with internal laryngocele.
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