title: The association of laryngoceles with ventricular phonation.
abstract: Laryngoceles represent dilatations of the laryngeal saccule that may extend internally into the airway, or externally through the thyrohyoid membrane. Unilateral laryngoceles are uncommon clinical entities and bilateral laryngoceles are rare. Certain activities like glass blowing and playing a wind instrument are associated with laryngocele development, as is laryngeal carcinoma in the ventricular area. This case describes development of bilateral laryngoceles in a patient who chronically uses ventricular phonation during speech. The pathogenesis involves repetitive elevation of intralaryngeal pressure during false vocal cord approximation, exposing the ventricles to abnormally high air pressures. The pathogenesis in this case, as well as in laryngoceles associated with occupational or anatomic risk factors, is discussed.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Washington Medical Center, Seattle 98195, USA.
authors.forename: T G
authors.initials: TG
authors.lastname: Dray
authors.forename: P F
authors.initials: PF
authors.lastname: Waugh
authors.forename: A D
authors.initials: AD
authors.lastname: Hillel
mesh_terms: D000328:Adult; D006547:Hernia / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007818:Laryngeal Diseases / Q000150:complications* / Q000175:diagnosis; D007822:Laryngeal Neoplasms / Q000150:complications*; D008297:Male; D010212:Papilloma / Q000150:complications*; D014057:Tomography, X-Ray Computed; D014832:Voice Disorders / Q000175:diagnosis / Q000209:etiology*