Young VN, Smith LJ. Saccular cysts: a current review of characteristics and management.
Laryngoscope 2012;
122:595-9. [PMID:
22252974 DOI:
10.1002/lary.22431]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2011] [Revised: 09/28/2011] [Accepted: 10/11/2011] [Indexed: 11/10/2022]
Abstract
OBJECTIVES/HYPOTHESIS
To review a large cohort of adult saccular cyst patients and update current management of saccular cysts.
STUDY DESIGN
Retrospective review of treatment of adult patients with saccular cysts.
METHODS
Medical records were reviewed of all adult patients with saccular cysts identified between July 1, 2005 and August 31, 2009 at a tertiary care voice center.
RESULTS
Sixteen patients were identified. All complained of dysphonia. Saccular cysts were predominantly left-sided (62.5%). The majority were anterior (85.7%); 14.3% were combined anterior/lateral. There were no isolated lateral saccular cysts. Surgical intervention was performed in 13 patients (81%); 100% were endoscopic. No patient required an external approach. Two patients recurred (15%), both within 2 months, and were managed conservatively.
CONCLUSIONS
Saccular cyst is uncommonly encountered but can cause debilitating or even life-threatening symptoms. Over time, management of these lesions has changed dramatically. With current, improved endoscopic techniques, most saccular cysts can be managed endoscopically with great success rates, often without the need for an external approach.
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