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Bilateral Laryngocele Causing Epiglottic Deformity and Upper Airway Obstruction
İrfan Kara1, Kerem Kökoğlu2, Sedat Çağlı1
1Department of Otorhinolaryngology, Erciyes University School of Medicine, Kayseri, Turkey.
Turkish Archives of Otorhinolaryngology
|July 31, 2019
Summary
Laryngocele, a laryngeal ventricle dilatation, is often asymptomatic but can cause airway obstruction. This case highlights managing bilateral laryngocele with respiratory distress, emphasizing prompt diagnosis and treatment.
Area of Science:
- Otolaryngology
- Respiratory Medicine
- Radiology
Background:
- Laryngocele is a cystic dilatation of the laryngeal ventricle.
- Often asymptomatic and incidentally found on imaging.
- Potential risk factors include obstruction, laryngeal pressure, and congenital defects.
Observation:
- Computed tomography (CT) is the preferred diagnostic modality.
- Presents a case of bilateral laryngocele causing significant respiratory distress.
- Highlights the importance of considering laryngocele in acute upper airway obstruction.
Findings:
- Surgical interventions include endoscopic, external, or combined approaches.
- Management may necessitate tracheostomy in severe airway compromise.
- Coexistence with laryngeal cancer requires direct laryngoscopy.
Implications:
- Emphasizes the diagnostic role of CT in identifying laryngoceles.
- Underscores the need for prompt recognition and management of laryngocele-induced airway obstruction.
- Suggests a comprehensive approach considering potential co-existing pathologies like laryngeal cancer.
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