Laryngocele arises from

A laryngocele is a cystic dilatation of the laryngeal saccule, which is a small outpouching of the laryngeal ventricle. Laryngoceles can be classified into internal or external, based on their location in relation to the thyrohyoid membrane.

Internal Laryngocele:

  • An internal laryngocele protrudes inward into the laryngeal lumen.
  • It occurs when the saccule becomes dilated and extends into the larynx.

External Laryngocele:

  • An external laryngocele extends outward through the thyrohyoid membrane into the neck.
  • It occurs when the saccule extends through the membrane, forming a neck mass.

Laryngoceles arise from the laryngeal saccule, and their development is often associated with increased pressure within the laryngeal ventricle. The exact cause of this increased pressure can vary, but it is often related to chronic conditions such as chronic cough, laryngitis, or increased intra-abdominal pressure. Other contributing factors may include vocal abuse, smoking, or occupational factors that strain the vocal cords.

While some laryngoceles may be asymptomatic, others can cause symptoms such as hoarseness, a feeling of fullness or discomfort in the throat, or neck swelling. The size and location of the laryngocele, as well as the presence of associated symptoms, influence the approach to management.

Treatment options for laryngoceles may include:

  1. Observation: Asymptomatic or small laryngoceles may be monitored without intervention.
  2. Surgery: Larger or symptomatic laryngoceles may require surgical intervention. The goal of surgery is to remove the cystic component and ensure proper drainage of the laryngeal ventricle.
  3. Microsurgery: Endoscopic or microsurgical techniques may be used to address laryngoceles without the need for external incisions.

It’s important for individuals experiencing symptoms related to the larynx or neck to seek evaluation by an ear, nose, and throat (ENT) specialist. The specific approach to diagnosis and management will depend on the individual’s symptoms, the size and location of the laryngocele, and other clinical factors.