Kelainan Kongenital

Thesacculeisadiverticulumofmucousmembranewhichstartsfromthe
anteriorpartofventricularcavityandextendsupwardsbetweenvestibularfolds
andlaminaofthyroidcartilage.
Whenabnormallyenlargedanddistended,itmayformalaryngoceleanair
containingsacwhichmaypresentintheneck.Therearemanymucousglands
inthesaccule,whichhelptolubricatethevocalcords.
Laryngocele.Itisdilatationoflaryngealsacculeandextendsbetweenthyroid
cartilageandtheventricle.Itmaybeinternal,externalorcombined.Treatment
isendoscopicorexternalexcision.
Laryngocele.Itisanairfilledcysticswellingduetodilatationofthesaccule
(Figure61.5).Alaryngocelemaybe:
(a)Internalwhichisconfinedwithinthelarynxandpresentsasdistensionof
falsecordandaryepiglotticfold.
(b)Externalinwhichdistendedsacculeherniatesthroughthethyroid
membraneandpresentsinneck.
(c)Combinedormixedinwhichbothinternalandexternalcomponentsare
seen.
Alaryngoceleissupposedtoarisefromraisedtransglotticairpressureasin
trumpetplayers,glassblowersorweightlifters.
Alaryngocelepresentswithhoarseness,coughandiflarge,obstructiontothe
airway.Anexternallaryngocelepresentsasareducibleswellingintheneck
whichincreasesinsizeoncoughingorperformingValsalva(Figure61.6).
Diagnosiscanbemadebyindirectlaryngoscopy,andsofttissueAPandlateral
viewsofneckwithValsalva.CTscanhelpstofindtheextentoflesion.
Treatmentissurgicalexcisionthroughanexternalneckincision.
Marsupializationofaninternallaryngocelecanbedonebylaryngoscopybut
therearechancesofrecurrence.
Alaryngoceleinanadultmaybeassociatedwithcarcinomawhichcauses
obstructionofsaccule.