Laryngocele: a rare complication of surgical tracheostomy

<p>Abstract</p> <p>Background</p> <p>A laryngocele is usually a cystic dilatation of the laryngeal saccule. The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development.</p> <p>Case presenta...

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Main Authors: Howard David, Singh Sandeep, El Maaytah Mohammed, Sipaul Fabian, Jerjes Waseem, Upile Tahwinder, Hopper Colin, Wright Anthony
Format: Article
Language:English
Published: BMC 2006-11-01
Series:BMC Surgery
Online Access:http://www.biomedcentral.com/1471-2482/6/14
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author Howard David
Singh Sandeep
El Maaytah Mohammed
Sipaul Fabian
Jerjes Waseem
Upile Tahwinder
Hopper Colin
Wright Anthony
author_facet Howard David
Singh Sandeep
El Maaytah Mohammed
Sipaul Fabian
Jerjes Waseem
Upile Tahwinder
Hopper Colin
Wright Anthony
author_sort Howard David
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>A laryngocele is usually a cystic dilatation of the laryngeal saccule. The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development.</p> <p>Case presentation</p> <p>We present a rare case of laryngocele occurring in a 77-year-old Caucasian woman. The patient presented with one month history of altered voice, no other associated symptoms were reported. The medical history of the patient included respiratory failure secondary to childhood polio at the age of ten; the airway management included a surgical tracheostomy.</p> <p>Flexible naso-laryngoscopy revealed a soft mass arising from the posterior pharyngeal wall obscuring the view of the posterior commissure and vocal folds. The shape of the mass altered with respiration and on performing valsalva maneuver. A plain lateral neck radiograph revealed a large air filled sac originating from the laryngeal cartilages and extending along the posterior pharyngeal wall. The patient was then treated by endoscopic laser marsupialization and reviewed annually.</p> <p>We discuss the complications of tracheostomy and the pathophysiology of laryngoceles and in particular the likely aetiological factors in this case.</p> <p>Conclusion</p> <p>A laryngocele presenting in a female patient with tracheostomy is extremely rare and has not been to date reported in the world literature. A local mechanical condition may be the determinant factor in the pathogenesis of the disease.</p>
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spelling doaj.art-dd1cc3707a244a5b8886e2a83f58e5032022-12-22T03:06:22ZengBMCBMC Surgery1471-24822006-11-01611410.1186/1471-2482-6-14Laryngocele: a rare complication of surgical tracheostomyHoward DavidSingh SandeepEl Maaytah MohammedSipaul FabianJerjes WaseemUpile TahwinderHopper ColinWright Anthony<p>Abstract</p> <p>Background</p> <p>A laryngocele is usually a cystic dilatation of the laryngeal saccule. The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development.</p> <p>Case presentation</p> <p>We present a rare case of laryngocele occurring in a 77-year-old Caucasian woman. The patient presented with one month history of altered voice, no other associated symptoms were reported. The medical history of the patient included respiratory failure secondary to childhood polio at the age of ten; the airway management included a surgical tracheostomy.</p> <p>Flexible naso-laryngoscopy revealed a soft mass arising from the posterior pharyngeal wall obscuring the view of the posterior commissure and vocal folds. The shape of the mass altered with respiration and on performing valsalva maneuver. A plain lateral neck radiograph revealed a large air filled sac originating from the laryngeal cartilages and extending along the posterior pharyngeal wall. The patient was then treated by endoscopic laser marsupialization and reviewed annually.</p> <p>We discuss the complications of tracheostomy and the pathophysiology of laryngoceles and in particular the likely aetiological factors in this case.</p> <p>Conclusion</p> <p>A laryngocele presenting in a female patient with tracheostomy is extremely rare and has not been to date reported in the world literature. A local mechanical condition may be the determinant factor in the pathogenesis of the disease.</p>http://www.biomedcentral.com/1471-2482/6/14
spellingShingle Howard David
Singh Sandeep
El Maaytah Mohammed
Sipaul Fabian
Jerjes Waseem
Upile Tahwinder
Hopper Colin
Wright Anthony
Laryngocele: a rare complication of surgical tracheostomy
BMC Surgery
title Laryngocele: a rare complication of surgical tracheostomy
title_full Laryngocele: a rare complication of surgical tracheostomy
title_fullStr Laryngocele: a rare complication of surgical tracheostomy
title_full_unstemmed Laryngocele: a rare complication of surgical tracheostomy
title_short Laryngocele: a rare complication of surgical tracheostomy
title_sort laryngocele a rare complication of surgical tracheostomy
url http://www.biomedcentral.com/1471-2482/6/14
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