Laryngoceles: Concepts of diagnosis and management
| Autor: | Abd ElRaof Said Mohamed, Mohammad Kamal Mobashir, Waleed M. Basha, Mostafa Hassaan, Ahmed M. Anany |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Larynx
Adult Male medicine.medical_specialty Thyrotomy Complete resection Lesion 03 medical and health sciences 0302 clinical medicine Medicine Humans Laryngocele 030223 otorhinolaryngology Co2 laser Hoarseness Laryngoscopy business.industry Middle Aged medicine.disease medicine.anatomical_structure Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Laryngeal saccule Operative time Radiology Laser Therapy medicine.symptom business Neck |
| Zdroj: | Ear, nose,throat journal. 96(3) |
| ISSN: | 1942-7522 |
| Popis: | A laryngocele is an abnormal dilatation of the laryngeal saccule. It is a rare benign lesion of the larynx. Various modalities of treatment have been advocated for its management. We present our treatment results and outcomes of a series of cases of laryngoceles and discuss the concepts of their management. This study included patients with different laryngocele types. Patients with an internal laryngocele underwent endoscopic CO2 laser resection, while those with a combined laryngocele underwent resection via a V-shaped lateral thyrotomy approach. Seven patients had an internal laryngocele, and 4 patients had a combined laryngocele. Hoarseness and neck swelling were the most common symptoms. The mean follow-up period was 8.5 months. None of the patients needed a tracheostomy either preoperatively or postoperatively, or had recurrence of laryngocele. We advocate the lateral thyrotomy approach for combined laryngoceles as it provides safe, precise, and complete resection under direct visualization via a single approach, while we favor the endoscopic laser approach for the internal ones as it allows resection of the entire lesion with minimal laryngeal trauma, less operative time, and a shorter hospital stay. |
| Databáze: | OpenAIRE |
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