Touihmi Safaa, Errabhi Chaimae, Rkain Ilham
Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Med VI, Tangier, Morocco; University of Medicine and Pharmacy Abdelmalek Essaadi, Tangier, Morocco.
Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital Med VI, Tangier, Morocco; University of Medicine and Pharmacy Abdelmalek Essaadi, Tangier, Morocco.
Int J Surg Case Rep. 2023 Oct;111:108820. doi: 10.1016/j.ijscr.2023.108820. Epub 2023 Sep 14.
Pyolaryngocele is a very rare and serious complication of laryngocoele. The clinical presentation can be extremely severe acute epiglottitis with laryngeal dyspnea and major dysphagia. The treatment of choice is surgical excision. Our aim is to attract the intention of the surgeon to this unusual entity and describe its clinical features.
We report a case of a 70-year-old male patient with a five-day history of left neck swelling, sore throat, and low-grade fever. An urgent CT scan showed a mixed pyolaryngocele. The management consisted of high-dose antibiotics and excision of the residual laryngocoele via an external approach.
A pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. The management consists of administrating broad-spectrum antibiotics and aspiration of purulent material to decompress the sac. At a later stage, after relieving the acute symptoms we performed an external approach with formal excision of the laryngocele.
Pyolaryngocele is a rare complication of laryngocele and can present with serious complaints like dyspnea and sepsis. Excision of the laryngocoele is still the best treatment option to prevent this complication and recurrence.
脓性喉气囊肿是喉气囊肿一种非常罕见且严重的并发症。临床表现可能为极其严重的急性会厌炎，伴有喉喘鸣和严重吞咽困难。首选治疗方法是手术切除。我们的目的是引起外科医生对这种不寻常病症的关注，并描述其临床特征。
我们报告一例70岁男性患者，有左侧颈部肿胀、咽痛和低热5天的病史。紧急CT扫描显示为混合性脓性喉气囊肿。治疗包括大剂量抗生素治疗以及通过外部入路切除残余的喉气囊肿。
脓性喉气囊肿是喉气囊肿一种不寻常的并发症，继发感染后会引起严重症状。治疗包括使用广谱抗生素以及抽吸脓性物质以减压囊肿。在后期，在缓解急性症状后，我们采用外部入路正式切除喉气囊肿。
脓性喉气囊肿是喉气囊肿的一种罕见并发症，可表现为呼吸困难和脓毒症等严重症状。切除喉气囊肿仍然是预防这种并发症和复发的最佳治疗选择。
