A laryngocele grows pos-terosuperiorly on the medial side and pushes the band ventricles and the aryepiglottic
The supraglottis (Figure 4) includes the epiglottis, aryepiglottic
folds, arytenoids, ventricular bands (false cords), and laryngeal ventricles.
A contrast-enhanced CT of the soft tissue of the neck revealed a well-defined, oblong soft tissue 1.7 x 2.7 x 3.9 cm mass arising from the right aryepiglottic
region and narrowing the hypopharynx, (Figures 1-3).
PET/CT imaging showed hypermetabolic focus on left aryepiglottic
fold and interarytenoid area maximum standard uptake values ([SUV.sub.max]): 8.9 without any anatomical correlation.
If there is not adequate abduction of the left arytenoid it is common that the left aryepiglottic
fold and/or the right vocal cord will deviate axially during inspiration and result in partial obstruction and noise.
Flexible laryngoscopy showed fullness of the right posterior pharyngeal wall without mucosal abnormality, resulting in anterior displacement of the right aryepiglottic
Flexible pharyngolaryngoscopy was done, and it was noted that there was left vocal cord immobility, oedematous left aryepiglottic
fold, and left pyriform fossa with secretions in it.
The otolaryngologist service performed a laryngoscopic examination, which revealed left side erythema and an edematous epiglottis and aryepiglottic
folds consistent with acute epiglottitis (Figure 1).
Flexible fiberoptic laryngoscopy demonstrates the desquamating lesions of the subglottic region (arrow) (A) and the posterior cricoid, aryepiglottic
folds, and piriform sinuses (arrows) (B).
In his physical examination; he had 38.5 [degrees]C fever, trismus preventing oral examination and moderate aryepiglottic
fold edema on fiber optic nasal endoscopic examination.
Posteriorly, the limit of resection passes in front of the arytenoids, sectioning the ventricular and aryepiglottic