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  Vol. 131 No. 4, April 2005 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Radiology
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Radiology Quiz Case 2: Diagnosis

Arch Otolaryngol Head Neck Surg. 2005;131:369.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Laryngopyocele

A laryngopyocele is a rare clinical entity that arises when infection and suppuration occur within a preexisting laryngocele.1 The term laryngocele denotes a pathologic dilatation of the laryngeal saccule.2 Although a variety of more precise definitions based on the extent of saccular dilatation and the presence of symptoms have been proposed, the issue remains controversial.3

Laryngoceles are 5 times more common in males, occurring most frequently in the sixth decade of life, and are bilateral in 15% of cases.4-5 They may be classified as internal (20%), external (30%), or combined (50%).6 Internal laryngoceles are confined to the laryngeal interior and extend into the aryepiglottic fold and ventricular band. External laryngoceles herniate through the thyrohyoid membrane in close association with the superior laryngeal neurovascular bundle, communicating with an undilated ventricle. A combined laryngocele has both internal and external components that communicate with each other.7

The etiology of laryngoceles is . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case 2
Neville P. Shine, Simon P. Blake, and Gerard O’Leary
Arch Otolaryngol Head Neck Surg. 2005;131(4):367.
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