John wrote:  > I have developed what is called a bilateral laryngocele.
Basically . . . when back pressure ... is put on my throat, the windpipe
shifts to the left and a really large air bubble causes my neck to puff out
quite expansively. <

I attended a jazz concert a few years ago.  The tenor saxaphone player's
neck puffed up exactly as you describe when he played.  I didn't ask what
caused it, of course, but it was likely a sign of a laryngocele exactly as
you've described.  He was an oustanding musician and the puffing didn't seem
to interfere in the least with his stellar performance.  I probably woudn't
have noticed it if I were not a former ENT nurse.

Of course, I can't advise you, but I can tell you what I'd likely do if I
were in your shoes.  Unless and until it's unequivocably determined that (1)
the laryngocele is dangerous to my well being or significantly impairs my
horn playing & lifestyle and (2) surgery is corrective and w/o unwanted
consequences, I'd leave it alone, learn to live with it, stop looking in the
mirror and worrying about it!   I would be extremely resistant to surgical
intervention.

Many people live long, productive lives with known, but often unknown airway
deviations & anomalies.
-- 
Valerie Wells
The Balanced Embouchure Method
http://bebabe.wordpress.com/
http://www.beforhorn.blogspot.com/
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