{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T23:27:51Z","timestamp":1784330871659,"version":"3.55.0"},"reference-count":12,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T00:00:00Z","timestamp":1680652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To demonstrate the feasibility of transoral resection of, even large, combined laryngoceles by endoscopic CO<jats:sub>2<\/jats:sub> laser resection using the inversion technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study over a 25\u2010year period of 20 patients with 22 combined laryngoceles. All patients were operated on using the CO<jats:sub>2<\/jats:sub> laser inversion technique. Pre\u2010 and postoperative computed tomography (CT)\u2010scans or magnetic resonance (MR) imaging were available in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no surgical problems during all procedures. One patient required a tracheotomy pre\u2010operatively due to a compromised airway. All procedures were without intraoperative complications. Postoperatively, there were two complications: one hemorrhage, and one patient developed a granuloma with airway compromise. In two patients, residual disease was detected on postoperative imaging. One of them was re\u2010operated several years later due to the progression of this residual external component of the laryngocele. One patient had a non\u2010significant small internal laryngocele recurrence. The recurrence rate in this series was 2\/22 (9.1%). The majority of patients (15\/20) could be discharged from the hospital the day after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study show excellent control of combined laryngoceles using the CO<jats:sub>2<\/jats:sub> laser inversion technique, with a short hospital stay and a low rate of complications and recurrence. Even in large combined laryngoceles, CO<jats:sub>2<\/jats:sub> laser excision using the inversion technique should be considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 133:2742\u20132746, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30687","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T10:59:53Z","timestamp":1680692393000},"page":"2742-2746","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Endoscopic <scp>CO<sub>2<\/sub><\/scp> Laser Resection Using the Inversion Technique in 22 Combined Laryngoceles"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2088-8938","authenticated-orcid":false,"given":"Derrek A.","family":"Heuveling","sequence":"first","affiliation":[{"name":"Dept. of Otolaryngology Meander Medical Center  Amersfoort The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans F.","family":"Mahieu","sequence":"additional","affiliation":[{"name":"Dept. of Otolaryngology Meander Medical Center  Amersfoort The Netherlands"},{"name":"Ruysdael Voice Clinic  Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100081196"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-021-01210-x"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/819453"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710600704"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200208000-00018"},{"issue":"2","key":"e_1_2_5_7_1","first-page":"74","article-title":"Laryngopyocele","volume":"95","author":"Lebecque O","year":"2012","journal-title":"JBR\u2010BTR"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319840142"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2016.292"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113000236"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-016-4171-6"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000002641"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520940441"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.30687","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T18:59:11Z","timestamp":1695149951000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.30687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,5]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/lary.30687"],"URL":"https:\/\/doi.org\/10.1002\/lary.30687","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,5]]},"assertion":[{"value":"2022-11-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-03-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}