An Exceptionally Large Mixed Laryngocele Presenting as a Cervical Mass

Laryngoceles are rare benign dilatations of the laryngeal saccule that communicate with the laryngeal lumen and may present with variable clinical manifestations depending on their size and extent. Their presentation can range from incidental findings to clinically significant cervical masses or airway-related symptoms. The authors report a case of an unusually large mixed laryngocele in a 62-year-old male who presented with progressive right-sided cervical swelling, dysphagia, and throat discomfort. Computed tomography revealed a well-defined air-filled lesion arising from the laryngeal ventricle with extension into the right cervical region, consistent with a mixed laryngocele, resulting in displacement of the airway. The patient underwent successful surgical excision through an external transcervical approach. Histopathologic examination confirmed the diagnosis, demonstrating a cyst lined by pseudostratified ciliated respiratory epithelium. The postoperative course was uneventful, with complete resolution of symptoms on follow-up. This case is notable for the lesion's size and its prominent cervical presentation, both of which are uncommon in routine clinical practice. It emphasizes the importance of accurate diagnosis, exclusion of underlying malignancy, and appropriate surgical planning in achieving complete excision and favorable outcomes, particularly in large or combined laryngoceles.