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Laryngocele after Subtotal Laryngectomy
Mohamed Dhaha1, Souheil Jbali1, Sawssen Dhambri1
1Department of Head and Neck Surgery, Salah Azaez oncology Institute, Tunis, Tunisia.
Iranian Journal of Otorhinolaryngology
|September 25, 2018
Summary
Laryngocele, an air-filled laryngeal dilatation, can be a late complication after subtotal laryngectomy. Histological examination is crucial due to frequent cancer association.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Laryngocele is a laryngeal saccule dilatation, often caused by congenital malformation, tissue weakness, or increased intralaryngeal pressure.
- It can arise as a secondary iatrogenic complication post-subtotal laryngectomy.
Observation:
- A case of external laryngomucocele is presented 8 years after supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCPL-CHEP).
- The report details clinical aspects, therapeutic approaches, and discusses potential physiopathological mechanisms for this late complication.
Findings:
- Laryngocele occurring after subtotal laryngectomy should be recognized as a delayed iatrogenic complication.
- Histological examination following laryngocele surgery is essential due to a frequent association with laryngeal cancer.
Implications:
- This case highlights the importance of considering laryngocele as a potential late sequela of specific laryngectomy procedures.
- Emphasizes the need for thorough histopathological evaluation to rule out malignancy in post-laryngectomy laryngoceles.
