%0 Journal Article
%T Systematic review of laryngocele and pyolaryngocele management in the age of robotic surgery.
%A Singh R
%A Karantanis W
%A Fadhil M
%A Kumar SA
%A Crawford J
%A Jacobson I
%J J Int Med Res
%V 48
%N 10
%D Oct 2020
%M 33100073
%F 1.573
%R 10.1177/0300060520940441
%X <B>OBJECTIVE: </B>A laryngocele is a space that develops as a result of pathological dilatation of the laryngeal saccule. However, the reported management of laryngoceles varies. We conducted a systematic review of the literature regarding the surgical management of laryngoceles and pyolaryngoceles, to understand the evolving nature of treatment for this rare condition.<BR><B>METHODS: </B>We searched for publications in the PubMed, Cochrane Library, JBI Library of Systematic Reviews, and Ovid databases using the terms "laryngocele", "pyolaryngocele", and "laryngopyocele", and reviewed the identified articles.<BR><B>RESULTS: </B>After removal of repeated studies and filtering for relevance and studies written in English, a total of 227 studies were included in this review. No meta-analyses or randomized controlled trials have been published. The identified studies have been summarized in 14 reviews conducted since 1946. The meta-analysis determined that endoscopy was the preferred approach for internal laryngoceles, while combined laryngoceles benefited from both internal and external surgical approaches.<BR><B>CONCLUSIONS: </B>Laryngocele management has progressed since its initial description, from open surgery to an endoscopic approach, and more recently to a robotic-assisted surgical approach. The uptake of robotic surgery as a possible treatment modality over the last decade shows much promise for the treatment of these conditions.