Internal Laryngocele: Unusual onset in a 91-year-old female patient
While internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sultan Qaboos University
2018-04-01
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| Series: | Sultan Qaboos University Medical Journal |
| Subjects: | |
| Online Access: | https://journals.squ.edu.om/index.php/squmj/article/view/2532 |
| _version_ | 1818141808382705664 |
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| author | Maria. C Spinosi Chiara Mezzedimi Giovanni Monciatti Desiderio Passali |
| author_facet | Maria. C Spinosi Chiara Mezzedimi Giovanni Monciatti Desiderio Passali |
| author_sort | Maria. C Spinosi |
| collection | DOAJ |
| description | While internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy, in 2017 due to recurrent episodes of severe dyspnoea. A flexible nasopharyngolaryngoscopic examination revealed an internal laryngocele of approximately 1.5 cm in diameter that moved up and down the glottic plane, occasionally invading the subglottic space during inspiration and impeding airflow. This caused cyanosis and dyspnoea so severe that an emergency tracheotomy was considered. Luckily, after considerable effort, the patient was able to cough, causing the mass to move above the vocal plane and allowing normal breathing. The laryngocele was subsequently removed via laryngomicrosurgery. Although the incidence of internal laryngoceles is quite rare, physicians should consider this potentially life-threatening condition among patients with dyspnoea. |
| first_indexed | 2024-12-11T11:05:46Z |
| format | Article |
| id | doaj.art-64af73b52092443583b38a5494e7623b |
| institution | Directory Open Access Journal |
| issn | 2075-051X 2075-0528 |
| language | English |
| last_indexed | 2024-12-11T11:05:46Z |
| publishDate | 2018-04-01 |
| publisher | Sultan Qaboos University |
| record_format | Article |
| series | Sultan Qaboos University Medical Journal |
| spelling | doaj.art-64af73b52092443583b38a5494e7623b2022-12-22T01:09:41ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal2075-051X2075-05282018-04-0118110410610.18295/squmj.2018.18.01.0182335Internal Laryngocele: Unusual onset in a 91-year-old female patientMaria. C Spinosi0Chiara Mezzedimi1Giovanni Monciatti2Desiderio Passali3Ear, Nose & Throat Clinic, Policlinico Santa Maria alle Scotte, SienaEar, Nose & Throat Clinic, Policlinico Santa Maria alle Scotte, SienaEar, Nose & Throat Clinic, Policlinico Santa Maria alle Scotte, SienaEar, Nose & Throat Clinic, Policlinico Santa Maria alle Scotte, SienaWhile internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy, in 2017 due to recurrent episodes of severe dyspnoea. A flexible nasopharyngolaryngoscopic examination revealed an internal laryngocele of approximately 1.5 cm in diameter that moved up and down the glottic plane, occasionally invading the subglottic space during inspiration and impeding airflow. This caused cyanosis and dyspnoea so severe that an emergency tracheotomy was considered. Luckily, after considerable effort, the patient was able to cough, causing the mass to move above the vocal plane and allowing normal breathing. The laryngocele was subsequently removed via laryngomicrosurgery. Although the incidence of internal laryngoceles is quite rare, physicians should consider this potentially life-threatening condition among patients with dyspnoea.https://journals.squ.edu.om/index.php/squmj/article/view/2532laryngoceledyspnealaryngoscopyotolaryngologycase reportitaly. |
| spellingShingle | Maria. C Spinosi Chiara Mezzedimi Giovanni Monciatti Desiderio Passali Internal Laryngocele: Unusual onset in a 91-year-old female patient Sultan Qaboos University Medical Journal laryngocele dyspnea laryngoscopy otolaryngology case report italy. |
| title | Internal Laryngocele: Unusual onset in a 91-year-old female patient |
| title_full | Internal Laryngocele: Unusual onset in a 91-year-old female patient |
| title_fullStr | Internal Laryngocele: Unusual onset in a 91-year-old female patient |
| title_full_unstemmed | Internal Laryngocele: Unusual onset in a 91-year-old female patient |
| title_short | Internal Laryngocele: Unusual onset in a 91-year-old female patient |
| title_sort | internal laryngocele unusual onset in a 91 year old female patient |
| topic | laryngocele dyspnea laryngoscopy otolaryngology case report italy. |
| url | https://journals.squ.edu.om/index.php/squmj/article/view/2532 |
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