Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-28T19:07:51.245Z Has data issue: false hasContentIssue false
  • English
  • Français

Unilateral combined laryngocoele with recurrent respiratory papillomatosis: case report

Published online by Cambridge University Press:  04 December 2009

S Bayan  and
M Mortensen
S Bayan*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
M Mortensen
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
*
Address for correspondence: Semirra Bayan, c/o Dr Melissa Mortensen, UVA Health System, Department of Otolaryngology-Head and Neck Surgery, PO Box 800713, Charlottesville VA 22903, USA. Fax: +1 434 982 3965 E-mail: slb3hh@virginia.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We report a case of unilateral combined laryngocoele occurring in conjunction with recurrent respiratory papillomatosis.

Methods:

Case report and review of the literature concerning the physiology underlying laryngocoele formation.

Results:

A laryngocoele is an abnormal, air-filled dilation of the laryngeal saccule which communicates with the laryngeal lumen. We report a case of a 53-year-old man with a unilateral combined laryngocoele occurring in conjunction with recurrent respiratory papillomatosis. Microlaryngoscopy demonstrated a papilloma obstructing the laryngeal saccule. Removal of papillomata via laser excision and marsupialisation of the left laryngocoele improved the patient's vocal symptoms. There was no recurrence of papillomata or the laryngocoele.

Conclusion:

While many laryngocoeles can be explained by altered laryngeal physiology, the papilloma described in this case acted as an anatomical obstruction that trapped air within the saccule, creating an environment conducive to laryngocoele formation.

Keywords

LarynxLaryngocelePapilloma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 6 , June 2010 , pp. 687 - 689
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Thomas, D, Madden, G. Bilateral laryngoceles. Ear Nose Throat J 1993;72:819–21Google Scholar
2 Cummings, C, Haughey, B, Thomas, J, Harker, L, Flint, P. Saccular disorders. In: Cumming: Otolaryngology Head and Neck Surgery, 4th edn. Philadelphia: Mosby, 1998Google Scholar
3 Close, L, Merkel, M, Burns, D, Deaton, C, Schaeffer, S. Asymptomatic laryngocele: incidence and association with laryngeal cancer. Ann Otol Rhinol Laryngol 1987;96:393–9Google Scholar
4 Holinger, L, Barnes, D, Smid, L, Holinger, P. Laryngocele and saccular cysts. Ann Otol Rhinol Laryngol 1978;87:675–85Google Scholar
5 Ingrams, D, Hein, D, Merak, N. Laryngocele: an anatomic variant. J Laryngol Otol 1999;113:675–7CrossRefGoogle Scholar
6 Virchow, R. The pathological tumor [in German]. Berlin: Hirschwald, 1867;35Google Scholar
7 Birt, D. Observations on the size of the saccule in laryngectomy specimens. Laryngoscope 1987;97:190–9Google Scholar
8 Stone, M, Myer, C, Stern, Y. Saccular cyst caused by recurrent respiratory papillomatosis. Otolaryngol Head Neck Surg 1999;121:668Google Scholar
9 Dray, T, Waugh, P, Hillel, A. The association of laryngoceles with ventricular phonation. J Voice 2002;14:278–81Google Scholar
10 Stell, PM, Marin, A. Laryngocele. J Laryngol Otol 1975;89:915–24Google Scholar
11 Harney, M, Patil, N, Walsh, R, Brennen, P, Walsh, M. Laryngoceles and squamous cell carcinoma of the larynx. J Laryngol Otol 2001;115:590–2Google Scholar
12 Celin, S, Johnson, J, Curtin, H, Barnes, L. The association of laryngoceles with squamous cell carcinoma of the larynx. Laryngoscope 1991;101:529–36Google Scholar
13 Akbas, Y, Unal, M, Pata, Y. Asymptomatic bilateral mixed type laryngocele and laryngeal carcinoma. Eur Arch Otorhinolaryngol 2004;261:307–9Google Scholar
14 Prasai, A, Phillips, J, Jani, P. Spontaneous resolution of a traumatic laryngocele. J Otol 2007;36:5–8CrossRefGoogle ScholarPubMed
15 Isaacson, G, Sataloff, RT. Bilateral laryngoceles in a young trumpet player: case report. Ear Nose Throat J 2000;79:272–4Google Scholar