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Unilateral combined laryngocoele with recurrent respiratory papillomatosis: case report

Published online by Cambridge University Press:  04 December 2009

S Bayan  and
M Mortensen
S Bayan*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
M Mortensen
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia, USA
*
Address for correspondence: Semirra Bayan, c/o Dr Melissa Mortensen, UVA Health System, Department of Otolaryngology-Head and Neck Surgery, PO Box 800713, Charlottesville VA 22903, USA. Fax: +1 434 982 3965 E-mail: [email protected]
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Abstract

Objective:

We report a case of unilateral combined laryngocoele occurring in conjunction with recurrent respiratory papillomatosis.

Methods:

Case report and review of the literature concerning the physiology underlying laryngocoele formation.

Results:

A laryngocoele is an abnormal, air-filled dilation of the laryngeal saccule which communicates with the laryngeal lumen. We report a case of a 53-year-old man with a unilateral combined laryngocoele occurring in conjunction with recurrent respiratory papillomatosis. Microlaryngoscopy demonstrated a papilloma obstructing the laryngeal saccule. Removal of papillomata via laser excision and marsupialisation of the left laryngocoele improved the patient's vocal symptoms. There was no recurrence of papillomata or the laryngocoele.

Conclusion:

While many laryngocoeles can be explained by altered laryngeal physiology, the papilloma described in this case acted as an anatomical obstruction that trapped air within the saccule, creating an environment conducive to laryngocoele formation.

Keywords

LarynxLaryngocelePapilloma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 6 , June 2010 , pp. 687 - 689
Copyright
Copyright © JLO (1984) Limited 2009

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