Introduction:

Laryngoceles correspond to a dilatation of the saccule of the laryngeal ventricle. There is no consensus on treatment. The external approach is still defended by some authors. However, endoscopic management is becoming increasingly used.

Aims and objectives:

The aim of this work was to discuss the therapeutic management of laryngoceles and the interest of the endoscopic approach.

Methods:

We report a retrospective study including patients treated for laryngoceles between 2012 and 2023.

Results:

Our study included 10 patients with a mean age of 44.4 years and extremes ranging from 10 days to 68 years. A male predominance was noted (7 males /3 females). Five patients  had dysphonia, four patients presented with dyspnea, and only 2 patients consulted for cervical swelling. Laryngeal endoscopy showed a bulging ventricular band in 6 patients with vocal cord fixation in 3 patients, a budding formation in 1 patient and leukoplakia in 1 patient. Cervical examination was normal in 5 cases, showing expansive swelling on Valsalva manoeuvre in 3 cases and a swelling with inflammatory signs in one case. On CT scan, the laryngocele was medial in 5 cases and mixed in 5 cases, unilateral in 8 cases and bilateral in 2 cases. Laryngopyocele was noted in one case. Eight patients underwent surgery. The unilateral internal laryngoceles were resected endoscopically with complete resection in 2 cases and marsupialization in one case. Mixed laryngoceles were resected externally. Follow-up (without surgical treatment) was indicated in 2 cases. No cases of recurrence were noted.

Conclusion:

Endoscopic surgery remains the technique of choice for internal laryngoceles. It is increasingly used in mixed laryngoceles.