Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 4 Issue 6

Larynx Microsurgery in Saccular Cysts and Laryngoceles

Carlos S Ruggeri* and Dora Cristina Latourrette

Head and Neck Section of the Otorhinolaryngology Department of the Hospital Italiano of Buenos Aires, Argentina

*Corresponding Author: Carlos S Ruggeri, Head and Neck Section of the Otorhinolaryngology Department of the Hospital Italiano of Buenos Aires, Argentina.

Received: October 14, 2021; Published: May 20, 2022


Objective: To determine the efficiency of different microsurgical approaches in treating patients with saccular cysts and internal or mixed laryngoceles.

Design: Descriptive and retrospective

Methods: Patients who had internal or mixed laryngoceles and saccule cysts and were treated with endolaryngeal microsurgical techniques between October 2009 and May 2019 were selected.

The surgeries consisted in marsupializing the cysts towards the air space of the larynx or removing them completely.

Cold instruments for laryngeal microsurgery, 24cm monopolar electrosurgical unit and CO2 laser were used.

The surgery was considered successful when the patient had no more symptoms and when no laryngoceles or cysts were detected in the controls.

Results: Nine patients were treated for internal or mixed laryngoceles and saccular cysts.

Three had right internal unilateral laryngoceles, two had bilateral mixed laryngoceles with a small external component, and four had saccular cysts.

The most frequent reason for consultation was dysphonia, and one patient had an acute laryngeal obstructive syndrome that required urgent intubation and hospitalization in an intensive care unit.

In seven patients, the saccular cyst and laryngocele were completely resected, and in two others, the marsupialization microsurgical technique was performed.

One patient had no improvement in his symptoms due to persistent laryngocele.

Conclusions: The efficacy of the different laryngeal microsurgery techniques used to treat saccular cysts and laryngoceles was very good, reaching an effectiveness rate of 88.88%.

Superpulsed CO2 laser larynx microsurgery is the ideal technique due to its effectiveness and low morbidity for treating saccule cysts and internal or mixed laryngoceles with a small cervical component.

We believe that complete resection of the saccular cyst or laryngocele decreases the possibility of recurrence.

Keywords: Larynx Microsurgery; Saccular Cysts; Laryngocele; CO2 Laser


  1. Ravjit Singh., et al. “Systematic review of laryngocele and pyolaryngocele management in the age of robotic surgery”. Journal of International Medical Research 10 (2020): 1-8.
  2. Holinger LD., et al. “Laryngocele and saccular cysts”. Annals of Otology, Rhinology and Laryngology 87 (1978): 675-685.
  3. Broyles EN. “Anatomical observations concerning the laryngeal appendix”. Annals of Otology, Rhinology and Laryngology2 (1959): 461-470.
  4. Porter PW and Vilensky JA. “The laryngeal saccule: clinical significance”. Clinical Anatomy 25 (2012): 647-649.
  5. Kupfer RA and Hogikyan ND. “Laryngoceles and Saccular Cysts”. Chapter 58: 729-738, in Sataloff´s comprehensive Texbook of Otolaryngology Head and Neck Surgery. Laringology Vol4 Jaypee 4.Brothers Medical Publishers, First Edition (2016).
  6. Dursun G., et al. “Current diagnosis and treatment of laryngocele in adults”. Otolaryngology–Head and Neck Surgery 136 (2007): 211-215.
  7. Celin SE., et al. “The association of laryngoceles with squamous cell carcinoma of the larynx”. Laryngoscope 101 (1991): 529-536.
  8. Cankaya H., et al. “Laryngeal amyloidosis:a rare cause of laryngocele”. Clinical Imaging2 (2002): 86-88.
  9. Marom T., et al. “Laryngocele: a rare long-term complication following neck surgery?” Journal of Voice3 (2011): 272-274.
  10. Naudo P., et al. “Complications and functional outcome after supracricoid partial laryngectomy with cricohyoidoepiglottopexy”. Otolaryngology–Head and Neck Surgery 118 (1998): 124-129.
  11. Vasileiadis I., et al. “Internal laryngopyocele as a cause of acute airway obstruction:an extremely rare case and review of the literature”. Acta Otorhinolaryngologica Italica 32 (2012): 58-62.
  12. Byard RW and Gilbert JD. “Lethal Laryngopyocele, Case Report”. Journal of Forensic Sciences2 (2015): 518-520.
  13. Courey CG., et al. “Laryngeal Cysts, Pseudocysts and Laryngoceles”. Chapter 11:191-199 in The Larynx III Edition, vol. II. Plural Publishing San Diego (2019).
  14. Martinez Devesa P., et al. “Endoscopic CO2 Laser Management of Laryngocele”. Laryngoscope 112 (2002): 1246-1430.
  15. Zelenik K., et al. “Treatment of Laryngoceles: What is a Progress over the Last Two Decades?”. BioMed Research International (2014): 1-6.
  16. PM Devesa., et al. “Endoscopic CO2 laser management of laryngocele”. Laryngoscope8 (2002): 1426-1430.
  17. Mobashir MK., et al. “Laryngoceles: Concepts of Diagnosis and Management”. Ear, Nose and Throat Journal 3 (2017): 133-138.


Citation: Carlos S Ruggeri and Dora Cristina Latourrette. “Larynx Microsurgery in Saccular Cysts and Laryngoceles".Acta Scientific Otolaryngology 4.6 (2022): 55-61.


Copyright: © 2022 Carlos S Ruggeri and Dora Cristina Latourrette. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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