A case of huge external laryngocele

Laryngoceles are air filled sacs usually in continuity with laryngeal air column. This was first described by
Virchow in 1863. These masses were said to be intimately related to the laryngeal ventricle. Usually
they are in continuity with the ventricle. It is of three types:

1. Internal laryngocele - Confined to the interior of larynx
2. External laryngocle - This laryngocele prolapses through a rent in the thyrohyoid membrane and presents usually as a neck mass
3. Combined laryngocele - Both internal and external components of the laryngocele are seen in this type

These patients usually present with:

1. Hoarseness of voice

2. Breathlessness

3. Cough

4. Mass in the neck

This 50 years old male patient presented with swelling right side of neck - 7 years duration.
It was reducible, increased in size on valsalva maneuver.

CT scan neck:

This patient was taken up for surgery.

Surgical procedure can be seen below: