An Exceptionally Large Mixed Laryngocele Presenting as a Cervical Mass

Area of Science:

• Otolaryngology
• Head and Neck Surgery
• Medical Imaging

Background:

• Laryngoceles are rare, benign dilatations of the laryngeal saccule.
• Clinical presentation varies widely based on size and extent.
• Large or combined laryngoceles can cause significant airway compromise and cervical masses.

Purpose of the Study:

• To report a case of an unusually large mixed laryngocele.
• To discuss the diagnostic and management challenges associated with such cases.
• To emphasize the importance of accurate diagnosis and surgical planning.

Main Methods:

• Case report of a 62-year-old male with progressive right-sided cervical swelling, dysphagia, and throat discomfort.
• Computed tomography (CT) for lesion characterization and airway assessment.
• Surgical excision via an external transcervical approach.
• Histopathologic examination for definitive diagnosis.

Main Results:

• CT revealed a large, air-filled mixed laryngocele extending into the cervical region, displacing the airway.
• Successful surgical excision was performed.
• Histopathology confirmed a cyst lined by respiratory epithelium.
• Patient experienced complete symptom resolution postoperatively.

Conclusions:

• Unusually large mixed laryngoceles with prominent cervical presentation are rare but require careful management.
• Accurate diagnosis, exclusion of malignancy, and meticulous surgical planning are crucial for favorable outcomes.
• Surgical excision is an effective treatment for symptomatic laryngoceles.