(Redirected from Laryngocele)
Laryngoceles are swellings associated with increased pressure in the pharynx.
- 4 times more in men
- Mean age 55
- Associated with coughing, sneezing, playing the trumpet and having a wide neck
- Increased pharyngeal pressure results in pressure on the saccule. In most subjects, the saccule does not expend. In patients with a wide false cord - true cord distance, or patients with a false cord pressing against the saccule, a valve like effect leads to increased pressure, leading to the formation of an expanded chamber, the laryngocele.
- Patient may complain of hoarseness, cough or pain
- Neck lump is present, and made more obvious by valsalva manoeuvre
- Flexible nasendoscopy may show fullness of false cord
- Imaging may show air filled sac
- Laryngoceles may obstruct larynx
- Excision along with upper half of thyroid cartilage