title: Laryngeal debridement: an alternative treatment for a laryngopyocele presenting with severe airway obstruction.
abstract: The laryngocele is an abnormal saccular dilatation of the ventricle of Morgagni, which maintains its communication with the laryngeal vestibule. Three types of laryngoceles have been described: internal, external, and combined or mixed in relation to the position of the sac with respect to the thyrohyoid membrane. If the laryngocele becomes obstructed and infected it leads to the so-called laryngopyocele which, although a rare disease (8% of laryngoceles), can become an emergency causing severe airway obstruction needing urgent management, even tracheostomy. An alternative method is presented of emergency management of an internal laryngopyocele causing severe airway obstruction using a laryngeal microdebrider and avoiding tracheostomy.
authors: Otolaryngology Department, Queen Alexandra Hospital, Portsmouth, UK. lisarfraser@gmail.com
authors: L
authors: L
authors: Fraser
authors: B
authors: B
authors: Pittore
authors: S
authors: S
authors: Frampton
authors: P
authors: P
authors: Brennan
authors: R
authors: R
authors: Puxeddu
mesh_terms: D000368:Aged; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery*; D003646:Debridement; D005260:Female; D006801:Humans; D059608:Laryngocele / Q000150:complications* / Q000601:surgery*; D012720:Severity of Illness Index; D013492:Suppuration / Q000150:complications / Q000601:surgery