Laryngpyocoeles are rare complication of laryngocoeles. They can present with serious complaints like dyspnea and sepsis.

They should be kept in mind in the differential diagnosis of upper deep neck infection with hoarseness and odynoaphagia.

An emergency CT scan is mandatory in order to establish an accurate diagnosis, and begin appropriate treatment to avoid undesirable evolution.

External approach resection of laryngopyocele in emergency situations is advocated, which gave adequate exposure of the lesion.

Endoscopic laser indications are very limited in this type of presentation.