A laryngocele is an abnormal dilation of the laryngeal saccule going up into the false vocal fold that is usually air-filled and communicates with the laryngeal lumen with an incidence of about 1 in 2.5 million. These can be internal or combined laryngoceles and presentation depends on the type and size of the laryngocele. Small laryngoceles may be asymptomatic and may be incidentally detected. Management depends on the type, extent, and presentation and it ranges from close observation to surgical excision externally or microlaryngoscopically. We discuss a case of a large combined laryngocele that was managed using an external approach with complete resolution.
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