Vallecula Cyst with Dysphagia; A Case Report

Abstract

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.