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      Bilateral Vallecular Cysts as a Cause of Dysphagia: Case Report and Literature Review

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          Abstract

          Cysts of the vallecula are rare, accounting for 10.5% to 20.1% of all laryngeal cysts. Vallecular cysts may present with diverse symptoms affecting the voice, airway, and swallowing. We describe the evaluation and treatment of a 70-year-old woman who presented with dysphagia caused by large bilateral vallecular cysts.

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          Cysts of the larynx--classification.

          D Devine, L W DeSanto, L Weiland (1969)
          Article 0 comments Cited 18 times – based on 0 reviews     Review now
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            Vallecular cysts in newborns and young infants.

            R Berkowitz, Andrés J. Gutiérrez-Escobar, Fiona Robertson (1999)
            Vallecular cyst is a rare cause of stridor and respiratory distress in infancy and has been associated with sudden airway obstruction resulting in death. In a retrospective review of eight cases over a 20-year period all infants developed symptoms during the first week of life. All had stridor and feeding difficulties and two required endotracheal intubation. Other common findings included signs of increased work of breathing and episodes of cyanosis. Failure to thrive was present in five patients diagnosed later than the first week of life. An abnormal or a hoarse cry was present in only two patients. Diagnosis in all cases was made by endoscopy. Where a VC is clinically suspected, it is important to stress the need to visualize the base of the tongue during any diagnostic endoscopic procedure. At endoscopy, a smooth localized mass arising from and distorting the lingual surface of the epiglottis was identified. Histologically, the cysts contained respiratory epithelium with mucous glands with an external lining of squamous epithelium. Treatment by cyst marsupialization is safe and definitive, in particular when performed by CO2 laser.
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              Asymptomatic vallecular cyst: airway management considerations.

              Julia Rivo, Idit Matot (2001)
              Airway problems are easiest to manage when they are anticipated. Difficult intubation might, however, occur in patients with no obvious signs or symptoms suggesting airway difficulty. We describe a case where laryngeal inlet was obscured by a large vallecular cyst that was discovered during rapid-sequence induction of general anesthesia, causing difficulty in tracheal intubation. Once the patient was allowed to recover from general anesthesia, the trachea could be safely intubated using a fiberoptic bronchoscope.
              Article 0 comments Cited 9 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Otolaryngol
                Journal ID (publisher-id): IJOL
                Title: International Journal of Otolaryngology
                Publisher: Hindawi Publishing Corporation
                ISSN (Print): 1687-9201
                ISSN (Electronic): 1687-921X
                Publication date (Print): 2010
                Publication date (Electronic): 12 December 2010
                Volume: 2010
                Electronic Location Identifier: 697583
                Affiliations
                Department of Otorhinolaryngology, Head and Neck Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
                Author notes

                Academic Editor: P. H. Dejonckere

                Article
                DOI: 10.1155/2010/697583
                PMC ID: 3005807
                PubMed ID: 21197461
                SO-VID: ed737248-57e7-461a-9cba-47af0d68c208
                Copyright © Copyright © 2010 Jonathan J. Romak et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 18 October 2010
                Date accepted : 15 November 2010
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Otolaryngology
                Data availability:
                ScienceOpen disciplines: Otolaryngology

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