Internal Laryngocele Unusual onset in a 91-year-old female patient
Journal Title: Sultan Qaboos University Medical Journal - Year 2018, Vol 18, Issue 1
Abstract
While internal laryngoceles rarely cause major clinical complaints, they may lead to airway obstruction and require emergency intervention on rare occasions. We report a 91-year-old patient who was referred to the Ear, Nose & Throat Clinic of the Policlinico Santa Maria alle Scotte, Siena, Italy, in 2017 due to recurrent episodes of severe dyspnoea. A flexible nasopharyngolaryngoscopic examination revealed an internal laryngocele of approximately 1.5 cm in diameter that moved up and down the glottic plane, occasionally invading the subglottic space during inspiration and impeding airflow. This caused cyanosis and dyspnoea so severe that an emergency tracheotomy was considered. Luckily, after considerable effort, the patient was able to cough, causing the mass to move above the vocal plane and allowing normal breathing. The laryngocele was subsequently removed via laryngomicrosurgery. Although the incidence of internal laryngoceles is quite rare, physicians should consider this potentially life-threatening condition among patients with dyspnoea.
Authors and Affiliations
Maria. C Spinosi, Chiara Mezzedimi, Giovanni Monciatti, Desiderio Passali
Keywords
Related Articles
- EP ID EP22867
- DOI 10.18295/squmj.2018.18.01.018
- Views 374
- Downloads 17
Rituximab Treatment in Myasthaenia Gravis Report of two paediatric cases
Myasthaenia gravis (MG) is an autoimmune disease involving the postsynaptic receptors in the neuromuscular junction. Te condition is characterised by fatigable weakness of the skeletal muscles and is uncommon in childr...
Privatisation of Medical Education Viewpoints with a global perspective
Haemostatic Parameters in Patients with Behçet’s Disease
Objectives: Tis study aimed to evaluate the cause of thrombosis in Behçet’s disease (BD) patients, since abnormalities in coagulation and fbrinolytic parameters have shown contradictory results. Methods: Haemostatic...
Changing Survival Rate of Infants Born Before 26 Gestational Weeks Single-centre study
Objectives: Tis study aimed to evaluate the changing survival rate and morbidities among infants born before 26 gestational weeks at the Sultan Qaboos University Hospital (SQUH) in Muscat, Oman. Methods: Tis retrospect...
Bilateral Wrist Drop at Presentation in a Child with Spinal Muscular Atrophy Type I