{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:43:06Z","timestamp":1756381386757,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,2,8]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Laryngoceles are rare dilated laryngeal saccules that can present as acute airway obstruction and lead to airway emergencies. A man, presented to the emergency room, with difficulty in breathing and change in voice. An unevaluated pulsatile swelling was present on the left side of neck. Since, the patient was in stridor, an awake fiberoptic bronchoscopy (FOB)-guided intubation was planned with readiness for emergency tracheostomy, if needed. On FOB, an edematous supraglottic area with a narrowed glottic opening was observed. The procedure was abandoned and a surgical tracheostomy was performed to secure the airway. Postoperative contrast-enhanced CT neck revealed a huge laryngocele in left cervical region. We recommend that a high index of suspicion for presence of laryngocele should be kept in mind when a patient presents with stridor with pulsatile neck swelling. Timely aspiration of laryngocele may help in amelioration of the respiratory distress avoiding emergency tracheostomy.<\/jats:p>","DOI":"10.1136\/bcr-2021-248126","type":"journal-article","created":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T11:50:20Z","timestamp":1646913020000},"page":"e248126","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Undiagnosed laryngocele: an airway emergency"],"prefix":"10.1136","volume":"15","author":[{"given":"Saurabh","family":"Trivedi","sequence":"first","affiliation":[{"name":"Anaesthesiology, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4200-5948","authenticated-orcid":false,"given":"Sunaina Tejpal","family":"Karna","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaushal Singh","family":"Baghel","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pooja","family":"Thaware","sequence":"additional","affiliation":[{"name":"Anesthesiology and Critical Care, All India Institute of Medical Science, Bhopal, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,10]]},"reference":[{"key":"2025082804013344000_15.3.e248126.1","doi-asserted-by":"publisher","DOI":"10.1007\/s004050100316"},{"key":"2025082804013344000_15.3.e248126.2","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1016\/j.amsu.2020.11.024","article-title":"Left mixed laryngocele in absence of risk factors: a case report and review of literature","volume":"60","author":"Bisogno","year":"2020","journal-title":"Ann Med Surg"},{"key":"2025082804013344000_15.3.e248126.3","doi-asserted-by":"crossref","first-page":"99","DOI":"10.5152\/tao.2019.3949","article-title":"Bilateral laryngocele causing epiglottic deformity and upper airway obstruction","volume":"57","author":"Kara","year":"2019","journal-title":"Turk Arch Otorhinolaryngol"},{"key":"2025082804013344000_15.3.e248126.4","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1177\/014556131709600313","article-title":"Laryngoceles: concepts of diagnosis and management","volume":"96","author":"Mobashir","year":"2017","journal-title":"Ear Nose Throat J"},{"key":"2025082804013344000_15.3.e248126.5","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2016.8.15104"},{"key":"2025082804013344000_15.3.e248126.6","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/819453","article-title":"Treatment of laryngoceles: what is the progress over the last two decades?","volume":"2014","author":"Zelenik","year":"2014","journal-title":"Biomed Res Int"},{"key":"2025082804013344000_15.3.e248126.7","article-title":"Gigant laryngocele airway management. imaging","volume":"1","author":"Pascual-Ramirez","year":"2014","journal-title":"J clin Med sciences"},{"key":"2025082804013344000_15.3.e248126.8","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/S1808-8694(15)30765-5","article-title":"Laryngocele: a cause of upper airway obstruction","volume":"74","author":"Felix","year":"2008","journal-title":"Braz J Otorhinolaryngol"},{"key":"2025082804013344000_15.3.e248126.9","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1007\/s00405-003-0661-4","article-title":"Asymptomatic bilateral mixed-type laryngocele and laryngeal carcinoma","volume":"261","author":"Akbas","year":"2004","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025082804013344000_15.3.e248126.10","first-page":"e84","article-title":"Laryngocoele presenting as acute airway obstruction","volume":"48","author":"Leong","year":"2007","journal-title":"Singapore Med J"},{"key":"2025082804013344000_15.3.e248126.11","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1017\/S0022215108002417","article-title":"Laryngopyocoele: simple management of an acute airway crisis","volume":"123","author":"Mace","year":"2009","journal-title":"J Laryngol Otol"},{"key":"2025082804013344000_15.3.e248126.12","doi-asserted-by":"crossref","DOI":"10.1186\/1752-1947-5-283","article-title":"Surgical and anesthetic considerations of laryngeal saccular cyst: a case report","volume":"5","author":"Aidonis","year":"2011","journal-title":"J Med Case Rep"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-248126","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:01:40Z","timestamp":1756378900000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-248126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,10]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2021-248126"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-248126","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}