Rare case of combined laryngocoele masquerading as laryngeal carcinoma: a case report and review of literature

Gunjan Dwivedi, Vikas Gupta, Inderdeep Singh, Sunil Goyal, Manoj Kumar, Amit Sood, Meenakshi Rajput


Laryngocoele is an abnormal dilatation of the laryngeal saccule. It is a rare entity. Patient generally presents with hoarseness, dysphagia, dyspnea, foreign body sensation in throat and swelling in the neck. It is a benign condition, however the risk of malignancy is always associated with it, especially, if a patient is smoker or tobacco chewer. Once the diagnosis is established, laryngocoele are best treated by surgery. We present a rare case of combined laryngocoele in a 62 year old male patient, a chronic smoker, with history of recurrent swelling in neck right side for 2 years and hoarseness for duration of 1 month. It was a diagnostic dilemma as to what we were dealing with, a benign condition or malignancy. Eventually patient underwent excision by external approach. Resected specimen histo-pathological examination was consistent with laryngocoele. Post excision his normal voice was also restored.


Combined laryngocoele, Saccular cyst, Malignancy, Hoarseness, External approach, Thyro-hyoid membrane

Full Text:



Holinger LD, Barnes DR, Smid LJ, Holinger PH. Laryngocele and saccular cysts. Annals Otol Rhinol Laryngol. 1978;87(5):675-85.

Dursun G, Ozgursoy OB, Beton S, Batikhan H. Current diagnosis and treatment of laryngocele in adults. Otolaryngol Head Neck Surg. 2007;136(2):211-5.

Mitroi M, Capitanescu A, Popescu FC, Popescu C, Mogoanta CA, Mitroi G, Surlin C. Laryngocele associated with laryngeal carcinoma. Rom J Morphol Embryol. 2011;52(1):183-5.

Harney M, Patil N, Walsh R, Brennan P, Walsh M. Radiology in Focus: Laryngocele and squamous cell carcinoma of the larynx. J Otol Laryngol. 2001;115:590-2.

Prasad KC, Vijayalakshmi S, Prasad SC. Laryngoceles-presentations and management. Indian J Otolaryngol Head Neck Surg. 2008;60(4):303-8.

Keles E, Alpay HC, Orhan I, Yildirim H. Combined laryngocele: a cause of stridor and cervical swelling. Auris Nasus Larynx. 2010;37(1):117-20.

Verret DJ, DeFatta RJ, Sinard R. Combined laryngocele. Ann Otol Rhinol Laryngol. 2004;113:594–6.

Amin M, Maran AG. The aetiology of laryngocoele. Clin Otolaryngol. 1988;13(4):267-72.

Canalis RF, Maxwell DS, Hemenway WG. Laryngocele--an updated review. J Otolaryngol. 1977;6(3):191-9.

Macfie DD. Asymptomatic laryngoceles in wind-instrument bandsmen. Arch Otolaryngol. 1966;83(3):270-5.

Celin SE, Johnson J, Curtin H, Barnes L. The association of laryngoceles with squamous cell carcinoma of the larynx. The Laryngoscope. 1991;101(5):529-36.

Cassano L, Lombardo P, Ragona RM, Pastore A. Laryngopyocele: three new clinical cases and review of the literature. European Arch Oto-Rhino-Laryngol. 2000;257(9):507-11.

Thomé R, Thomé DC, De La Cortina RA. Lateral thyrotomy approach on the paraglottic space for laryngocele resection. Laryngoscope. 2000;110(3):447-50.

Parsons CA, Chapman P, Counter RT, Grundy A. The role of computed tomography in tumours of the larynx. Clinical Radiol. 1980;31(5):529-33.

Devesa PM, Ghufoor K, Lloyd S, Howard D. Endoscopic CO2 laser management of laryngocele. Laryngoscope. 2002;112(8):1426-30.

Lancella A, Abbate G, Dosdegani R. Mixed laryngocele: a case report and review of the literature. Acta Otorhinolaryngologica Italica. 2007;27(5):255.