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ENT · Larynx: laryngocele
Sample itemA glassblower has a neck swelling that enlarges when he blows against a closed mouth and is resonant to percussion. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Laryngocele
A laryngocele is an abnormal air-filled dilatation of the saccule or appendix of the laryngeal ventricle, associated with raised pressure in wind instrument players and glassblowers. It may be internal, external or combined, and enlarges on Valsalva.
Option by option
A. Thyroglossal cyst
A thyroglossal cyst moves with tongue protrusion and is not air-filled.
B. Cystic hygroma
A cystic hygroma is a translucent lymphatic malformation.
C. Laryngocele (correct)
Correct. An air-filled swelling that enlarges on blowing indicates laryngocele.
D. Branchial cyst
A branchial cyst lies at the anterior border of the sternocleidomastoid.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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