Article
Laryngocele and laryngeal cancer
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Published: | April 19, 2011 |
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Outline
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Introduction: Laryngocele containing air and mucus arises from impaired drainage of the laryngeal sacculus. Unusual cases of association of laryngocele with larynx cancer have been already reported in literature.
Material and methods: During the last 20 years 12 patients with laryngocele or laryngomucocele were treated in our institution. Laryngoscopy and CT revealed diagnosis and extension of the lesion. Bilateral lesion was found in two patients.
Results: Five of 12 patients had additionally laryngeal cancer. Two of these presented with laryngocele and advanced larynx cancer. They were treated with total laryngectomy, neck dissection and radiotherapy. It was difficult to specify whether both conditions developed idependently or laryngocele was secondary to neoplastic obstruction of the sacculus mouth. In three more patients laryngomucocele developed 1–2 years after surgical treatment of T2N0 larynx cancer: one case after partial vertical laryngectomy and two cases after transoral laser excision. Laryngomucocele in these patients was treated endoscopically.
Conclusion: Laryngocele/laryngomucocele may associate laryngeal cancer or may develop after partial laryngectomy or transoral cancer excision.