Özet:

Laryngoceles are defined as air-filled cystic dilatations of laryngeal saccule. They are usually asymptomatic pathologies. The large volumes and specific extensions cause serious symptoms clinically such as dyspnea, sleep apnea, hoarseness. Surgical excision under general anesthesia is the recommended way of management in symptomatic cases. There are number of facts to be considered primarly for the safe anesthesia in the management of such pathologies. Large volume masses avoid the precise visualization of upper airway and complicates the intubation. In this case the large laryngocele occluding the laryngeal inlet avoided the visualization of the vocal folds and insertion of intubation tube. The endotracheal intubation was accomplished under the rigid telescopic vision and wire guidance. The primary advantages of the technique was to avoid tracheotomy thus the postoperative morbidity, shortened operation time and endoscopy assisted and wire guided safe intubation.

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