Laryngocoele as an unusual complication of supracricoid partial laryngectomy: evaluation of 62 cases.
BACKGROUND
This study sought to evaluate the incidence, aetiology, clinical features and treatment modalities for laryngocoele formation after supracricoid partial laryngectomy.


METHODS
The medical charts of 62 patients who had undergone supracricoid partial laryngectomy were reviewed.


RESULTS
Three patients developed laryngocoele, giving an incidence of 4.8 per cent. Two of these patients presented with a cervical mass, dyspnoea and fever. The mobility of the arytenoids was disturbed on the involved side. The third patient was admitted complaining only of a compressible cervical mass. In all patients, diagnosis was made by computed tomography scan. The transcervical surgical approach was preferred for resection.


CONCLUSIONS
Laryngocoele can occur as a late complication of supracricoid partial laryngectomy. Remnants of the laryngeal ventricle may be the cause of laryngocoele formation. The integrity of the laryngeal ventricle in the resected specimen should be routinely checked in order to avoid this rare complication. Clinicians should be aware that, following supracricoid partial laryngectomy, a cervical mass presenting with dyspnoea and disturbance of arytenoid mobility does not always indicate tumour recurrence.
Naiboglu
B
B
Otolaryngology Clinic, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. drbnaib@yahoo.com
Aslan
I
I
Oysu
C
C
Zer Toros
S
S
Durmus
R
R
Egeli
E
E
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000601:surgery; D004108:Dilatation, Pathologic / Q000209:etiology; D005260:Female; D006801:Humans; D015994:Incidence; D007818:Laryngeal Diseases / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy; D007822:Laryngeal Neoplasms / Q000150:complications / Q000601:surgery; D007825:Laryngectomy / Q000009:adverse effects* / Q000379:methods; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome