Laryngocele is a condition characterized by an abnormal air-filled dilation of the saccule of the laryngeal ventricle, which is part of the larynx.
It can manifest as an internal laryngocele, confined to the inside of the larynx, or as an external laryngocele, which extends through the thyrohyoid membrane and presents as a neck mass.
Laryngoceles are often asymptomatic but can cause symptoms when they enlarge, such as hoarseness, a feeling of pressure in the throat, or difficulty breathing.
They can also become infected, leading to a condition known as laryngopyocele, which can increase discomfort and respiratory symptoms.
Diagnosing a laryngocele typically involves imaging studies, with CT scans being particularly useful for identifying the air-filled sacs and determining whether the laryngocele is internal or external.
In some cases, MRI may also be utilized to provide further detail, especially in complex cases.
Treatment for laryngocele depends on the severity of symptoms and may range from careful observation to surgical intervention.
Surgical options include endoscopic procedures to remove the laryngocele or, in more extensive cases, open surgical techniques.
The choice of treatment is often based on the size of the laryngocele, the presence of symptoms, and the overall health of the patient.
Laryngoceles are relatively rare, with a higher prevalence in men, and are often associated with increased intraluminal pressure activities, such as playing wind instruments or chronic coughing.