Myssiorek D, Persky M
Department of Otolaryngology, Albert Einstein College of Medicine/Montefiore Medical Center, New York.
Otolaryngol Head Neck Surg. 1989 Jun;100(6):538-41. doi: 10.1177/019459988910000602.
The laryngocele and saccular cyst are uncommon anomalies of the larynx. Two patients, one with an internal laryngocele and one with a saccular cyst, were successfully treated by endoscopic laser marsupialization of their lesions. Since neither patient was found to be a suitable candidate for prolonged general anesthesia, the patients did not require a tracheotomy and were discharged the day after surgery. Both patients are doing well, with remarkable improvement in their voices persisting in their three year follow-up. The signs, symptoms, diagnosis, treatment, and indications for endoscopic laser treatment of internal laryngoceles and saccular cysts are discussed. Laser marsupialization of internal laryngoceles appears to be an acceptable mode of treatment.
喉气囊肿和喉憩室囊肿是喉部罕见的异常情况。两名患者,一名患有喉内气囊肿,一名患有喉憩室囊肿,通过内镜激光造袋术成功治疗了他们的病变。由于未发现任何一名患者适合长时间全身麻醉,患者无需气管切开术,并在手术后次日出院。两名患者情况良好,在三年随访中声音有显著改善。本文讨论了喉内气囊肿和喉憩室囊肿的体征、症状、诊断、治疗以及内镜激光治疗的适应证。喉内气囊肿的激光造袋术似乎是一种可接受的治疗方式。