Abstract：
BACKGROUND: Pyolaryngocele is a very rare and serious complication of laryngocele. It can present as deep neck space infection and mislead the diagnosis. Our aim is to bring this unusual entity to the attention of surgeons and describe its clinical features.
METHODS: We report a case of a 45-year-old male patient with a five-week history of neck swelling, dysphonia, dyspnea and odynophagia. An urgent CT scan showed a mixed pyolaryngocele. The management consisted of a high dose antibiotic and an excision of the residual laryngocele via an external approach.
CONCLUSIONS: A pyolaryngocele is an unusual complication of laryngocele, which becomes secondarily infected, causing many symptoms. Removing the laryngocele is still the best treatment option to prevent this complication and recurrence.
METHODS: We report a case of a 45-year-old male patient with a five-week history of neck swelling, dysphonia, dyspnea and odynophagia. An urgent CT scan showed a mixed pyolaryngocele. The management consisted of a high dose antibiotic and an excision of the residual laryngocele via an external approach.
CONCLUSIONS: A pyolaryngocele is an unusual complication of laryngocele, which becomes secondarily infected, causing many symptoms. Removing the laryngocele is still the best treatment option to prevent this complication and recurrence.
摘要：
背景：脓肠膨出是一种非常罕见且严重的喉膨出并发症。可表现为颈深间隙感染，误导诊断。我们的目的是使这种不寻常的实体引起外科医生的注意并描述其临床特征。
方法：我们报告一例45岁男性患者，有5周的颈部肿胀史，发音困难,呼吸困难和吞咽困难。紧急CT扫描显示混合性脓性脑膨出。管理包括高剂量抗生素和通过外部方法切除残留的喉癌。
结论：咽喉膨出是一种罕见的咽喉膨出并发症，二次感染，引起许多症状。去除喉头膨出仍然是预防这种并发症和复发的最佳治疗选择。
方法：我们报告一例45岁男性患者，有5周的颈部肿胀史，发音困难,呼吸困难和吞咽困难。紧急CT扫描显示混合性脓性脑膨出。管理包括高剂量抗生素和通过外部方法切除残留的喉癌。
结论：咽喉膨出是一种罕见的咽喉膨出并发症，二次感染，引起许多症状。去除喉头膨出仍然是预防这种并发症和复发的最佳治疗选择。
