Combined laryngocele: A cause of stridor and cervical swelling

A laryngocele is usually a cystic dilatation of the laryngeal saccule. The etiology behind its occurrence is still unclear, but congenital and acquired factors have been implicated in its development. In this study, we present a rare case of laryngocele occurring in a 72-year-old woman. During physical examination the external component of the laryngocele was seen as a swelling in the neck. The swelling became larger during Valsalva maneuver. On the endoscopic examination of the larynx, she had a bulging near the ventricular fold and the right aryepiglottic fold. Diagnosis of laryngocele was made and confirmed with physical examination, indirect laryngoscopy and magnetic resonance imaging (MRI).