Abstract
I have read the research article “Current Diagnosis and Treatment of Laryngocele in Adults” by Dursun et al with great interest. 1 The authors provided updated information on this challenging entity, namely laryngoceles. The topics of incidence, etiology, and pathogenesis and clinical presentation were really well covered, and the authors emphasized the modern surgical methods of treatment. However because the title contains the term diagnosis, radiological aspects could have been explained more, even though the article was published in a surgical journal.
As the multidetector CT technology evolved, more detailed information with three-dimensional reconstruction views and also virtual laryngoscopy, which may serve the surgeon as a road map before surgery, became possible. So, in that sense, a contribution from a radiologist dealing with head and neck radiology would have been invaluable in preparation of the manuscript so as not to miss a detail that may seem unimportant clinically but warrants the attention of a reader from the imaging discipline.
In Figure 1, which includes preoperative noncontrast (A) and postoperative contrast (B) axial sections, the left sub-mandibular gland is not visualized in contrast to the normal right submandibular gland in either part. This can be attributed to a slight asymmetry in head position during scans as well as superior displacement of the left submandibular gland by the enlarging laryngocele. Although not very likely, submandibular gland pathology and surgery may be the underlying cause of a laryngocele, 2 and the least possibility is the agenesis of the submandibular gland on that side. However these points need to be clarified.