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Abstract：
Introduction Laryngocele is an air-filled dilatation of the laryngeal saccule that can be classified according to its extent (internal, external, or combined) and contents (laryngocele or laryngopyocele). To date, there is no consensus on the best treatment for laryngocele. Objective The present study aims to demonstrate for the first time the effectiveness of CO2 laser marsupialization for internal and combined laryngoceles. Methods A retrospective study was accomplished in our ENT Clinic of the University Hospital, from 2010 to today, recruiting patients according to strict criteria. All patients had internal or combined laryngocele/laryngopyocele treated with CO2 laser marsupialization. Results A total of 15 patients were enrolled for a total of 17 laryngoceles; 66.67% of the patients were males and the mean age was 54.4 (±14.12) years old. Internal laryngoceles accounted for 64.71% of the total, and only 7 cases were laryngopyoceles. At the 3-year follow-up, no signs of recurrence were found. Conclusion CO2 laser marsupialization is efficacious in the treatment of laryngocele or laryngopyocele, both internal and combined, in terms of efficiency, safety, and fast postoperative recovery, without need for tracheotomy or open surgery.
摘要：
简介喉膨出是一种充满空气的喉囊扩张，可以根据其程度进行分类（内部，外部,或组合）和内容物（喉膨出或喉囊肿）。迄今为止,对于喉膨出的最佳治疗方法尚无共识。目的本研究旨在首次证明CO2激光有袋化术治疗内喉和联合喉膨出的有效性。方法在大学医院耳鼻喉科门诊进行回顾性研究，从2010年到今天，根据严格的标准招募患者。所有患者均接受CO2激光有袋内治疗或合并喉膨出/喉囊肿。结果共纳入15例患者，共17例喉膨出；66.67%的患者为男性，平均年龄为54.4（±14.12）岁。喉内膨出占总数的64.71%,喉囊肿仅7例。在3年的随访中，没有发现复发的迹象。结论CO2激光带袋术治疗喉头膨出或喉囊肿疗效确切,内部和组合，在效率方面,安全,术后恢复快,无需气管切开术或开放手术。
