Clin Exp Otorhinolaryngol.  2019 May;12(2):212-216. 10.21053/ceo.2018.00808.

Clinical Characteristics and Management of Saccular Cysts: A Single Institute Experience

• Kim JH
• Kim MH
• Ahn HG
• Choi HS
• Byeon HK

• KMID: 2447431
• DOI: http://doi.org/10.21053/ceo.2018.00808

Abstract

OBJECTIVES
A saccular cyst is defined as a dilated saccule of the larynx, filled with mucus, and is located between the false vocal cords and the thyroid cartilage. Although this uncommon laryngeal condition is benign in nature, it could lead to dyspnea, stridor, and airway obstruction, depending on its size and location. Furthermore, some saccular cysts have been associated with laryngeal carcinoma. This study aimed to characterize this rather uncommon laryngeal condition to aid in determining the proper management of this pathology.
METHODS
Medical records were retrospectively reviewed of all patients with saccular cysts diagnosed and treated between 2006 and 2017 at a tertiary otolaryngologic care center.
RESULTS
Seven patients with saccular cysts were identified (male:female=2:5; mean age, 34.1 years); two were pediatric patients. Surgical intervention was performed in all patients by laryngo-microsurgery using CO2 laser. There was no recurrence after the initial surgical treatment.
CONCLUSION
Saccular cysts can be managed endoscopically using CO2 laser, without requiring an external approach. Therefore, an endoscopic approach should be actively considered for an optimal treatment outcome.

Keyword

COâ‚‚ Laser; Laryngo-Microsurgery; Larynx; Saccule; Saccular Cyst

MeSH Terms

Airway Obstruction
Dyspnea
Humans
Larynx
Lasers, Gas
Medical Records
Mucus
Pathology
Recurrence
Respiratory Sounds
Retrospective Studies
Saccule and Utricle
Thyroid Cartilage
Treatment Outcome
Vocal Cords

Figure

• 

  Fig. 1. Initial and postoperative laryngeal-stroboscopic imaging and operative findings of a 58-year-old female patient with saccular cyst. (A) Preoperative laryngeal-stroboscopic image of saccular cyst (arrow) arising from anterior part of right false vocal cord. (B) Intraoperative image showing excision of saccular cyst (arrow) on the right side using CO2 laser (3 watts superpulse continuous mode) under suspension laryngoscope. (C) Intraoperative image after complete removal of saccular cyst. (D) Three months postoperative, laryngealstroboscopic image.

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