Verro Barbara, Saraniti Carmelo
ENT Clinic, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy.
Int Arch Otorhinolaryngol. 2023 Aug 4;27(3):e428-e434. doi: 10.1055/s-0042-1748926. eCollection 2023 Jul.
Laryngocele is an air-filled dilatation of the laryngeal saccule that can be classified according to its extent (internal, external, or combined) and contents (laryngocele or laryngopyocele). To date, there is no consensus on the best treatment for laryngocele. The present study aims to demonstrate for the first time the effectiveness of CO2 laser marsupialization for internal and combined laryngoceles. A retrospective study was accomplished in our ENT Clinic of the University Hospital, from 2010 to today, recruiting patients according to strict criteria. All patients had internal or combined laryngocele/laryngopyocele treated with CO2 laser marsupialization. A total of 15 patients were enrolled for a total of 17 laryngoceles; 66.67% of the patients were males and the mean age was 54.4 (±14.12) years old. Internal laryngoceles accounted for 64.71% of the total, and only 7 cases were laryngopyoceles. At the 3-year follow-up, no signs of recurrence were found. CO2 laser marsupialization is efficacious in the treatment of laryngocele or laryngopyocele, both internal and combined, in terms of efficiency, safety, and fast postoperative recovery, without need for tracheotomy or open surgery.
喉膨出是喉囊的一种充满空气的扩张，可根据其范围（内部、外部或联合型）和内容物（喉膨出或脓性喉膨出）进行分类。迄今为止，对于喉膨出的最佳治疗方法尚无共识。本研究旨在首次证明二氧化碳激光袋形缝合术治疗内部型和联合型喉膨出的有效性。我们在大学医院的耳鼻喉科诊所进行了一项回顾性研究，时间从2010年至今，按照严格标准招募患者。所有患者的内部型或联合型喉膨出/脓性喉膨出均接受了二氧化碳激光袋形缝合术治疗。共纳入15例患者，总计17个喉膨出；66.67%的患者为男性，平均年龄为54.4（±14.12）岁。内部型喉膨出占总数的64.71%，仅有7例为脓性喉膨出。在3年的随访中，未发现复发迹象。就效率、安全性和术后快速恢复而言，二氧化碳激光袋形缝合术在治疗内部型和联合型喉膨出或脓性喉膨出方面是有效的，无需气管切开术或开放手术。
