Head and Neck ImagingLaryngocele
dilated air- or fluid-filled laryngeal
ventricle, the most common submucosal laryngeal mass
lesion. A laryngocele occurs when the laryngeal
ventricle is functionally obstructed (e.g. in players of a wind-instrument), or through
obstruction at the opening of the
ventricle; a tumoral
lesion causing such
obstruction should be excluded. When limited to the laryngeal
paraglottic space, it is called an internal laryngocele (
Fig.1); when extending through the thyrohyoid membrane, it is called a mixed laryngocele (consisting of a part internal and a part external to the larynx) (
Fig.2). An internal laryngocele causes hoarseness or stridor, an external laryngocele may present as a mass
lesion in the submandibular region. An infected laryngocele, filled with pus, is called a pyolaryngocele; it shows a thickened wall on cross-sectional imaging.
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Axial contrast-enhanced CT image through supraglottic larynx. Bilateral fluid-filled internal laryngocele (arrows).
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Laryngocele, Fig.1 | | Laryngocele, Fig.2 (a) | | Laryngocele, Fig.2 (b) |