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Laryngoceles

By

Clarence T. Sasaki

, MD, Yale University School of Medicine

Last full review/revision Jul 2020| Content last modified Jul 2020
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Laryngoceles are evaginations of the mucous membrane of the laryngeal ventricle.

Internal laryngoceles displace and enlarge the false vocal cords, resulting in hoarseness and airway obstruction. External laryngoceles extend through the thyrohyoid membrane, causing a mass in the neck. Laryngoceles tend to occur in musicians who play wind instruments. Laryngoceles are filled with air and can be expanded by the Valsalva maneuver.

Laryngoceles appear on CT as smooth, ovoid, low-density masses. They may become infected (laryngopyocele) when filled with mucoid fluid.

Treatment of laryngoceles is excision.

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When a patient presents with itching and pain of the ear, as well as conductive hearing loss, obstruction of the ear canal is a possible diagnosis. A typical cause of these symptoms is cerumen impaction due to the patient pushing cerumen further into the ear while attempting to clean the ear canal with cotton swabs. The best method for removing this cerumen from the ear includes which of the following?
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