Figure - uploaded by Cheng-Ming Luo
Content may be subject to copyright.
Source publication
Epiglottic cyst is not an unusual disease in the larynx. Although it is usually a benign lesion, airway problems may occur due to a large cyst. Surgical excision is usually the treatment of choice, with low recurrence. Because of the limited view and mobility of laryngoscopes, there is sometimes difficulty in the procedure of excision or marsupiali...
Similar publications
Saccular cyst is a rare lesion of larynx causing respiratory obstruction and stridor in neonates and infants. Herein we present a case of a 4year old who presented to us with intermittent respiratory distress and stridor. Fibreoptic bronchoscopy showed the presence of saccular cyst overhanging the anterior part of right vocal cord. Endoscopic marsu...
Citations
... Treatment depends upon the size and presenting symptoms. Asymptomatic small cysts can be observed; otherwise, endoscopic deroofing, marsupialization, or excision are all feasible options depending on the specific case on hand [7]. A CO2 laser is a good companion in surgery due to the superior hemostatic effect, and aspiration may ease the procedure [8]. ...
Epiglottic cysts are benign lesions of the larynx that are relatively rare beyond infancy age. A 17-year-old adolescent male patient presented to the outpatient specialized oropharyngeal clinic with inspiratory stridor, chronic sore throat, and progressive dyspnea symptoms over the past eight months. Examination by a headlight and a tongue depressor showed a large cystic lesion arising from the hypopharynx. A neck computed tomography (CT) scan revealed a 4 cm oval cyst attached to the lingual epiglottic surface. The relatively large epiglottic cyst was drained directly in the clinic and was later removed by microlaryngosurgery with traditional microinstrumentation in a follow-up visit. Subsequent recovery was uneventful. Regardless of the rarity of epiglottic cysts in adolescents, doctors should keep in mind this etiology as early diagnosis and management could spare the patient from life-threatening complications or tracheostomy and unneeded medical costs.
... Besides the traditional method in which carbon dioxide (CO2) laser is used, laryngo-microsurgery using microdebriders can effectively remove lesions. [4][5][6][7] This case report is about a 40-year-old woman with an epiglottic cyst found incidentally during a gastroscopy, who visited our hospital. We removed the epiglottic cyst via laryngo-microsurgery using an electrocautery. ...
... 1,4 Therefore, besides CO2 laser, other surgical instruments, such as microdebriders and coblators, have been used in an alternative or complementary method. Luo CM et al. 5 described that the use of microdebriders can save surgery time and simultaneously provide precise cutting through the prompt exposure of surgical field and synchronized suction and thus can be an effective alternative method. Additionally, Sun et al. 9 described an alternative surgical method in which the use of coblators as complementary instruments could shorten the surgery time, reduce intraoperative bleeding, and relieve postoperative pain. ...
... 2 Epiglottic cyst is a benign tumor contributing about 4.3%-6.1% of all laryngeal benign tumors. 3 Among the epiglottic cysts, mucosal retention cyst is characterized by frequent recurrence, and epidermal cyst is characterized by a large size. Epiglottic cysts could be diagnosed through indirect laryngoscopy or laryngeal endoscopic examination. ...
Objective:
The purpose of this study was to analyze the acoustic characteristics associated with alternation deformation of the vocal tract due to large epiglottic cyst, and to confirm the relation between the anatomical change and resonant function of the vocal tract.
Methods:
Eight men with epiglottic cyst were enrolled in this study. The jitter, shimmer, noise-to-harmonic ratio, and first two formants were analyzed in vowels /a:/, /e:/, /i:/, /o:/, and /u:/. These values were analyzed before and after laryngeal microsurgery.
Results:
The F1 value of /a:/ was significantly raised after surgery. Significant differences of formant frequencies in other vowels, jitter, shimmer, and noise-to-harmonic ratio were not presented.
Conclusion:
The results of this study could be used to analyze changes in the resonance of vocal tracts due to the epiglottic cysts.
... Cysts of the epiglottis are benign lesions, which can be found at any age, but with increased frequency in adults . [ [5] The most common location for these lesions is the lingual surface of the epiglottis, [1][3] [4] and less commonly, on the laryngeal surface. [1] Cysts arising from the lingual surface (epi-laryngeal) mostly consist of small masses which are confined to the sub-mucous layer and do not extend through the cartilage. ...
... [1][2][4] [7] During induction of anesthesia, symptomless, undiagnosed epiglottic cysts may cause great complications when muscular relaxation may drive the cyst into the larynx causing partial or complete obstruction, which may lead to the inability to ventilate and the development of respiratory failure. [5] [6] Another potential complication of unsuspected epiglottic cysts is acute infection and abscess formation. This may lead to airway edema and subsequent respiratory compromise. ...
Epiglottic cysts are generally benign lesions, which can affect all age groups. Depending
on their location and size they can cause airway obstruction and potentially lead to sudden death.
I
report a case of 45 year old male attended to my clinic with Cyst epiglottis. His complaints were
feeling of lump in the throat and occasional attacks of c
hocking especially during sleep. The patient
was successfully treated surgically with no recurrence in the 2years follow
-
up.
KEYWORDS:
Epiglottic cysts
-
Large sized
-
symptom range
-
Complications/sudden death
-
Treatment
... Surgical excision is one of the treatment choices for epiglottic cyst, with low recurrence. The instruments that can be used include sharp knife, microdebrider 13 and laser. The microdebrider, a one hand-powered instrument, has been widely used in treating nasal or paranasal sinus diseases but is relatively uncommon for laryngeal lesions. ...
Cervical emphysema is not uncommon in patients following head-and-neck related surgery. Free air may enter the neck by direct opening of the potential fascia spaces, dissection within the fascia spaces from the head or mediastinum and by injury to the upper respiratory of the alimentary tracts. The sources for free air in the neck are numerous and varied, rang-ing from the rectum to the sinuses. The otolaryngologist should have thorough knowledge of the differential diagnosis for air in the neck since the defi nitive therapy depends on the etiology. Here, a case of a 55-year-old female after undergoing excision of an epiglottic cyst with carbon dioxide laser is used to illustrate this clinical situation. Postoperative cervical emphysema developed and she was managed by supportive treatment with ideal recovery. Although cervical emphysema rarely occurs after microscopic suspension laryngoscopic laser surgery, it is still important to note this complication has the potential for grave outcomes if it is not immediately recognized and addressed.
Laryngeal cysts are rare lesions and makeup about 5% of benign laryngeal lesions. These cysts are often asymptomatic in adults but they can present with dysphonia, dyspnea, dysphagia, odynophagia, stridor, cough, foreign body sensation, airway obstruction, and even hemoptysis. A 17-year-old girl complained of dysphagia a month earlier, and also a foreign body sensation in her throat, and of mild intermittent dysphonia. The patient underwent laryngoscopy, and a large cystic-like lesion measuring approximately 3.3 cm was observed on the lingual surface of the epiglottis extending to the vulva. Computed tomography of the neck was requested without contrast, in which a cystic lesion measuring 27 × 31 × 34 (Mm) was found in the hypopharynx connected to the epiglottis and extending to the vulva. The patient underwent oxygenated lesions, after which the patient's symptoms greatly improved. Laryngeal cysts in adults are often asymptomatic and are accidentally detected, but in any case with dysphagia, dysphonia, cough, odynophagia, and foreign body sensation in the throat, epiglottis cysts and the laryngeal area should be considered. Such a diagnosis should be considered among differential diagnoses.
Epiglottic cysts are generally benign lesions, which can affect all age groups. Depending on their location and size they can cause airway obstruction and potentially lead to sudden death. We report the case of a 59-year-old female who was admitted to the hospital following respiratory arrest. Her respiratory symptoms developed soon after the administration of a muscle relaxant, which caused the collapse of an existing epiglottic mass into her airway. Prior to the admission to Cleveland Clinic, the patient required resuscitation and emergency cricothyrotomy. The obstruction was confirmed to be an occlusive epiglottic cyst. This was successfully treated with marsupialization. The patient was immediately decanulated without sequelae. Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
