%0 Case Reports %T Laryngeal debridement: an alternative treatment for a laryngopyocele presenting with severe airway obstruction. %A Fraser L %A Pittore B %A Frampton S %A Brennan P %A Puxeddu R %J Acta Otorhinolaryngol Ital %V 31 %N 2 %D Apr 2011 %M 22064820 %F 2.618 %R %X The laryngocele is an abnormal saccular dilatation of the ventricle of Morgagni, which maintains its communication with the laryngeal vestibule. Three types of laryngoceles have been described: internal, external, and combined or mixed in relation to the position of the sac with respect to the thyrohyoid membrane. If the laryngocele becomes obstructed and infected it leads to the so-called laryngopyocele which, although a rare disease (8% of laryngoceles), can become an emergency causing severe airway obstruction needing urgent management, even tracheostomy. An alternative method is presented of emergency management of an internal laryngopyocele causing severe airway obstruction using a laryngeal microdebrider and avoiding tracheostomy.