This communication reviews the clinical and pathological features of 121 cases of laryngocele reported in the English literature and the authors experience with 10 cases. A case of an infected laryngocele presenting with airway obstruction and one of an external laryngocele associated with laryngeal cancer are described in detail. An instance of bilateral congenitally long saccules is also presented, and the role of this anomaly in the pathogenesis of laryngoceles is discussed.