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Arch Otolaryngol Head Neck Surg. 2007;133(7):726.

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Diagnosis: Tracheocele

Tracheocele is rarely seen clinically; the prevalence in a reported autopsy series was approximately 1%. The condition was first described by Rokitansky in 1846.¹ Tracheoceles have been associated with chronic cough, prior neck surgery, employment that involves excessive vocal or pulmonary efforts, and complication of tracheostomy.^1-5 However, Grassi et al⁶ emphasize that a tracheocele being associated with pulmonary disease is much less common than a tracheocele being an incidental finding. Symptoms may include purulent secretions, neck pain, difficulty swallowing, hoarseness, and neck swelling that may enlarge with respiration.⁷

An acquired tracheocele is an air-filled diverticulum of the trachea. It is thought to arise from a congenital weakness of the tracheal wall. Over time, coughing or increased inspiratory effort can cause the defect to enlarge. The tracheocele is typically a single large sac, located in the right posterolateral wall of the trachea.¹ It usually occurs at the junction of the extrathoracic . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2007;133(7):724.
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