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Related Experiment Videos

Laryngocele: an acquired condition

M Abu-Khalaf, M Tarawneh

    The Journal of Laryngology and Otology
    |April 1, 1981
    PubMed
    Summary

    A rare complication following submandibular gland surgery led to a combined laryngocele. Surgical excision of the laryngocele resulted in a full recovery for the patient.

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    Area of Science:

    • Otolaryngology
    • Head and Neck Surgery
    • Surgical Pathology

    Background:

    • Chronic sialadenitis and salivary calculus are common conditions affecting the submandibular gland.
    • Surgical excision is a standard treatment for persistent submandibular gland disease.
    • Wound complications, though infrequent, can occur after head and neck procedures.

    Observation:

    • A 20-year-old female presented with chronic sialadenitis and salivary calculus requiring submandibular gland excision.
    • Post-operatively, the patient developed a wound hematoma that became infected, leading to an abscess.
    • The abscess spontaneously discharged into the larynx, resulting in the formation of a combined laryngocele.

    Findings:

    • The spontaneous laryngeal fistula and subsequent combined laryngocele represent a unique sequela of infected submandibular wound abscess.
    • Surgical excision of the combined laryngocele was successfully performed.
    • The patient experienced an uncomplicated recovery with no recurrence observed at two-year follow-up.

    Implications:

    • This case highlights an unusual but significant complication of submandibular gland surgery.
    • Early recognition and prompt surgical intervention are crucial for managing laryngoceles.
    • Understanding this pathway of complication can inform preventative strategies in head and neck surgery.

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