Mixed pyolaryngocele: Uncommon presentation of deep spaces neck infection

摘要

Introduction Pyolaryngocele is a very rare and serious complication of laryngocoele. It can present as deep spaces neck infection and mislead the diagnosis. Our aim is to attract the intention of the surgeon to this unusual entity and describe its clinical features. Case summary We report a case of 45 years old male patient with five-week history of neck swelling, dysphonia, mild dyspnea and odynophagia. An urgent C.T scan showed a mixed pyolaryngocele. The management consisted high dose antibiotic and an excision of the residual laryngocoele via an external approach. Discussion and conclusion A pyolaryngocele is an unusual complication of laryngocoele that becomes secondarily infected causing serious symptoms. Excision of the laryngocoele, still the best treatment option to prevent this complication and recurrence. Highlights ? Laryngpyocoeles are rare complication of laryngocoeles. They can present with serious complaints like dyspnea and sepsis. ? They should be kept in mind in the differential diagnosis of upper deep neck infection with hoarseness and odynoaphagia. ? An emergency CT scan is mandatory in order to establish an accurate diagnosis, and begin appropriate treatment to avoid undesirable evolution. ? External approach resection of laryngopyocele in emergency situations is advocated, which gave adequate exposure of the lesion. ? Endoscopic laser indications are very limited in this type of presentation.