A laryngopyocoele is a rarely encountered neck mass which may cause re
spiratory obstruction. Spontaneous regression of an established sympto
matic laryngopyocoele is an even more unusual situation, since most of
the reported cases require immediate intervention for impending airwa
y obstruction. A case of a laryngopyocoele showing spontaneous regress
ion after antibiotic therapy is presented and the clinical aspects are
reviewed.