Bisogno Antonella, Cavaliere Matteo, Scarpa Alfonso, Cuofano Rossella, Troisi Donato, Iemma Maurizio
Department of Medicine, Surgery and Dentistry, Scuola Medica Salernitana, University of Salerno, Via Salvador Allende, 43, 84081, Baronissi, Salerno, Italy.
Department of Otorhinolaryngology, University Hospital "San Giovanni di Dio e Ruggi D'Aragona", Largo Città d'Ippocrate, 84131, Salerno, Italy.
Ann Med Surg (Lond). 2020 Nov 7;60:356-359. doi: 10.1016/j.amsu.2020.11.024. eCollection 2020 Dec.
Laryngocele is an uncommon benign cystic dilatation of the laryngeal saccule that communicates with the laryngeal lumen and contains air. On the basis of its localization, it can be traditionally classified in internal, external, or mixed. Usually unilateral and rarely bilateral, it may be congenital or acquired. It most often appears later in life without important symptoms except for cervical swelling. Here, together with a review of literature, we report the case of a 72-year-old man, smoker but without other specific risk factors, who presented laryngeal dyspnea for about one year. Neck CT scan performed during a previous hospitalization for respiratory failure revealed a left mixed laryngocele that was later surgically removed with cervicotomic access. The patient was discharged after one week. One month after surgery, we confirmed the absence of disease with video laryngoscopy.
喉气囊肿是一种罕见的喉囊良性囊性扩张,与喉腔相通并含有空气。根据其位置,传统上可分为内型、外型或混合型。通常为单侧,很少双侧发生,可为先天性或后天性。它最常出现在生命后期,除颈部肿胀外无重要症状。在此,结合文献复习,我们报告一例72岁男性病例,该患者为吸烟者但无其他特定危险因素,出现喉喘鸣约一年。患者曾因呼吸衰竭住院,期间进行的颈部CT扫描显示左侧混合型喉气囊肿,随后通过颈切开术进行手术切除。患者一周后出院。术后一个月,通过电子喉镜检查确认无疾病残留。