Download PDF
CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(03): e428-e434
DOI: 10.1055/s-0042-1748926
Original Research

CO2 Laser Marsupialization for Internal and Combined Laryngocele

Barbara Verro 
1   ENT Clinic, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy
,
Carmelo Saraniti 
1   ENT Clinic, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo, Italy
› Author Affiliations Funding The author(s) received no financial support for the research.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Introduction Laryngocele is an air-filled dilatation of the laryngeal saccule that can be classified according to its extent (internal, external, or combined) and contents (laryngocele or laryngopyocele). To date, there is no consensus on the best treatment for laryngocele.

Objective The present study aims to demonstrate for the first time the effectiveness of CO2 laser marsupialization for internal and combined laryngoceles.

Methods A retrospective study was accomplished in our ENT Clinic of the University Hospital, from 2010 to today, recruiting patients according to strict criteria. All patients had internal or combined laryngocele/laryngopyocele treated with CO2 laser marsupialization.

Results A total of 15 patients were enrolled for a total of 17 laryngoceles; 66.67% of the patients were males and the mean age was 54.4 (±14.12) years old. Internal laryngoceles accounted for 64.71% of the total, and only 7 cases were laryngopyoceles. At the 3-year follow-up, no signs of recurrence were found.

Conclusion CO2 laser marsupialization is efficacious in the treatment of laryngocele or laryngopyocele, both internal and combined, in terms of efficiency, safety, and fast postoperative recovery, without need for tracheotomy or open surgery.

Keywords

laryngocele - laser surgery - laser therapy - therapeutics


Publication History

Received: 28 August 2021

Accepted: 20 March 2022

Article published online:
04 August 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Larrey DJ. Clinique Chirurgicale, exercé particularizável dans les Camps, et les Hôpitaux Militaires depuis 1792, jusqu' en 1829. Med Chir Rev 1831; 15 (29) 1-21
    PubMedSearch in Google Scholar
  • 2 Virchow R. Die krankhaften geschwielste. Berlin A Hirschwald 1867; 3: 35
    Search in Google Scholar
  • 3 Dursun G, Ozgursoy OB, Beton S, Batikhan H. Current diagnosis and treatment of laryngocele in adults. Otolaryngol Head Neck Surg 2007; 136 (02) 211-215
    CrossrefPubMedSearch in Google Scholar
  • 4 Zelenik K, Stanikova L, Smatanova K, Cerny M, Kominek P. Treatment of Laryngoceles: what is the progress over the last two decades?. BioMed Res Int 2014; 2014: 819453
    CrossrefPubMedSearch in Google Scholar
  • 5 Marom T, Roth Y, Cinamon U. Laryngocele: a rare long-term complication following neck surgery?. J Voice 2011; 25 (03) 272-274
    CrossrefPubMedSearch in Google Scholar
  • 6 Swain SK, Chandra Mallik K, Mishra S, Chandra Sahu M. Laryngocele: Experience at a Tertiary Care Hospital of Eastern India. J Voice 2015; 29 (04) 512-516
    CrossrefPubMedSearch in Google Scholar
  • 7 Singh R, Karantanis W, Fadhil M, Kumar SA, Crawford J, Jacobson I. Systematic review of laryngocele and pyolaryngocele management in the age of robotic surgery. J Int Med Res 2020; 48 (10) 300060520940441
    Search in Google Scholar
  • 8 Keles E, Alpay HC, Orhan I, Yildirim H. Combined laryngocele: a cause of stridor and cervical swelling. Auris Nasus Larynx 2010; 37 (01) 117-120
    CrossrefPubMedSearch in Google Scholar
  • 9 Suqati AA, Alherabi AZ, Marglani OA, Alaidarous TO. Bilateral combined laryngocele. Saudi Med J 2016; 37 (08) 902-903
    CrossrefPubMedSearch in Google Scholar
  • 10 Mobashir MK, Basha WM, Mohamed AE, Hassaan M, Anany AM. Laryngoceles: Concepts of diagnosis and management. Ear Nose Throat J 2017; 96 (03) 133-138
    CrossrefPubMedSearch in Google Scholar
  • 11 Fraser L, Pittore B, Frampton S, Brennan P, Puxeddu R. Laryngeal debridement: an alternative treatment for a laryngopyocele presenting with severe airway obstruction. Acta Otorhinolaryngol Ital 2011; 31 (02) 113-117
    PubMedSearch in Google Scholar
  • 12 Al-Yahya SN, Baki MM, Saad SM, Azman M, Mohamad AS. Laryngopyocele: report of a rare case and systematic review. Ann Saudi Med 2016; 36 (04) 292-297
    CrossrefPubMedSearch in Google Scholar
  • 13 Villeneuve A, Vergez S, Bakhos D, Lescanne E, Pinlong E, Morinière S. Management of laryngoceles by transoral robotic surgery. Eur Arch Otorhinolaryngol 2016; 273 (11) 3813-3817
    CrossrefPubMedSearch in Google Scholar
  • 14 Bisogno A, Cavaliere M, Scarpa A, Cuofano R, Troisi D, Iemma M. Left mixed laryngocele in absence of risk factors: A case report and review of literature. Ann Med Surg (Lond) 2020; 60: 356-359
    CrossrefPubMedSearch in Google Scholar
  • 15 Lisan Q, Hoffmann C, Jouffroy T, Hans S. Combined laser and robotic approach for the management of a mixed laryngomucocele. J Robot Surg 2016; 10 (01) 81-83
    CrossrefPubMedSearch in Google Scholar
  • 16 Kara İ, Kökoğlu K, Çağlı S, Yüce İ. Bilateral Laryngocele Causing Epiglottic Deformity and Upper Airway Obstruction. Turk Arch Otorhinolaryngol 2019; 57 (02) 99-101
    CrossrefPubMedSearch in Google Scholar
  • 17 Juneja R, Arora N, Meher R. et al. Laryngocele: A Rare Case Report and Review of Literature. Indian J Otolaryngol Head Neck Surg 2019; 71 (Suppl. 01) 147-151
    CrossrefPubMedSearch in Google Scholar
  • 18 Gal TJ, Hixon B, Zhang P. Transoral robotic resection of a combined laryngocele. J Robot Surg 2017; 11 (02) 263-266
    CrossrefPubMedSearch in Google Scholar
  • 19 Jones TM, De M, Foran B, Harrington K, Mortimore S. Laryngeal cancer: United Kingdom National Multidisciplinary guidelines. J Laryngol Otol 2016; 130 (S2): S75-S82
    CrossrefPubMedSearch in Google Scholar
  • 20 Saraniti C, Chianetta E, Greco G, Mat Lazim N, Verro B. The Impact of Narrow-band Imaging on the Pre- and Intra- operative Assessments of Neoplastic and Preneoplastic Laryngeal Lesions. A Systematic Review. Int Arch Otorhinolaryngol 2021; 25 (03) e471-e478
    Thieme ConnectPubMedSearch in Google Scholar
  • 21 Lancella A, Abbate G, Dosdegani R. Mixed laryngocele: a case report and review of the literature. Acta Otorhinolaryngol Ital 2007; 27 (05) 255-257
    PubMedSearch in Google Scholar
  • 22 Slonimsky G, Hawng G, Goldenberg D, Gagnon E, Slonimsky E. Terminology, Definitions, and Classification in the Imaging of Laryngoceles. Curr Probl Diagn Radiol 2021; 50 (03) 384-388
    CrossrefPubMedSearch in Google Scholar
  • 23 Mahdoufi R, Barhmi I, Tazi N, Abada R, Roubal M, Mahtar M. Mixed Pyolaryngocele: A Rare Case of Deep Neck Infection. Iran J Otorhinolaryngol 2017; 29 (93) 225-228
    PubMedSearch in Google Scholar
  • 24 Hirvonen TP. Endoscopic CO(2) laser surgery for large internal laryngocele. ORL J Otorhinolaryngol Relat Spec 2001; 63 (01) 58-60
    CrossrefPubMedSearch in Google Scholar
  • 25 Myssiorek D, Persky M. Laser endoscopic treatment of laryngoceles and laryngeal cysts. Otolaryngol Head Neck Surg 1989; 100 (06) 538-541
    CrossrefPubMedSearch in Google Scholar