Answer to the last #DiagnosticDilemma
Correct answer: B, Laryngocele

A 58-year-old man presented to the otorhinolaryngology outpatient clinic with a 2-year history of progressive hoarseness and swelling on the left side of his neck.

The swelling was accentuated when the Valsalva maneuver was performed. Examination with a flexible fiberoptic laryngoscope revealed a bulge over the left false vocal cord that was partially obstructing the airway lumen (Video).

A diagnosis of laryngocele was confirmed by radiography of the neck and by computed tomography, both of which showed a well-defined lobulated structure located in the left paralaryngeal space and extending through the thyrohyoid membrane.

The patient underwent a complete excision of the laryngocele. He remained asymptomatic at a follow-up visit 8 months later.

Lessons Learnt:-
- A laryngocele is a dilatation of the laryngeal saccule within the sinus of Morgagni, the space between false and true vocal cords.

- It can result from activity that increases intralaryngeal pressure, such as excessive coughing, straining, playing a wind instrument, or glass blowing.

Source: https://www.nejm.org/doi/full/10.1056/NEJMicm1807310


The #DiagnosticDilemma question can be accessed here: https://pxmd.co/EgDNQ
B●●●●●h K●●●r N●●●●●●●●m and 3 others like this4 shares
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Dr. A●●●●z M●●●●●r
Dr. A●●●●z M●●●●●r General Medicine
What is the patient’s profession?
Dec 7, 2018Like
H●●●●●●u M●●●●●●●i
H●●●●●●u M●●●●●●●i Internal Medicine
Laryngocoel
Dec 7, 2018Like
Dr. D●●●●h S●●●●a
Dr. D●●●●h S●●●●a General Medicine
Nice explanation !
Dec 7, 2018Like