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Laryngocele: a rare complication of surgical tracheostomy
BACKGROUND: 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. CASE PRESENTATION: We present a rare case of laryngocele occurring in a 77-year-old Cau...
Autores principales: | , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2006
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1676021/ https://www.ncbi.nlm.nih.gov/pubmed/17129390 http://dx.doi.org/10.1186/1471-2482-6-14 |
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author | Upile, Tahwinder Jerjes, Waseem Sipaul, Fabian El Maaytah, Mohammed Singh, Sandeep Howard, David Hopper, Colin Wright, Anthony |
author_facet | Upile, Tahwinder Jerjes, Waseem Sipaul, Fabian El Maaytah, Mohammed Singh, Sandeep Howard, David Hopper, Colin Wright, Anthony |
author_sort | Upile, Tahwinder |
collection | PubMed |
description | BACKGROUND: 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. CASE PRESENTATION: 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. 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. We discuss the complications of tracheostomy and the pathophysiology of laryngoceles and in particular the likely aetiological factors in this case. CONCLUSION: 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. |
format | Text |
id | pubmed-1676021 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2006 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-16760212006-12-01 Laryngocele: a rare complication of surgical tracheostomy Upile, Tahwinder Jerjes, Waseem Sipaul, Fabian El Maaytah, Mohammed Singh, Sandeep Howard, David Hopper, Colin Wright, Anthony BMC Surg Case Report BACKGROUND: 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. CASE PRESENTATION: 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. 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. We discuss the complications of tracheostomy and the pathophysiology of laryngoceles and in particular the likely aetiological factors in this case. CONCLUSION: 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. BioMed Central 2006-11-27 /pmc/articles/PMC1676021/ /pubmed/17129390 http://dx.doi.org/10.1186/1471-2482-6-14 Text en Copyright © 2006 Upile et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Upile, Tahwinder Jerjes, Waseem Sipaul, Fabian El Maaytah, Mohammed Singh, Sandeep Howard, David Hopper, Colin Wright, Anthony Laryngocele: a rare complication of surgical tracheostomy |
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 |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1676021/ https://www.ncbi.nlm.nih.gov/pubmed/17129390 http://dx.doi.org/10.1186/1471-2482-6-14 |
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