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An alternative surgical procedure for the treatment of vocal fold retention cyst
Hsin-Pin Chang1, Shyue-Yih Chang
1Department of Otolaryngology, National Yang Ming University, Veterans General Hospital-Taipei, Taiwan.
Objective:
Enucleation is the standard surgical procedure for vocal fold retention cyst, but it is sometimes technically challenging when the cyst is large. A simple alternative procedure, which evolved from the concept of marsupialization of cystic lesions, is presented, and the treatment results are reported.
Methods:
Termed the "wide-opening method," this technique involves the removal of the medial half of the cyst with its overlying mucosa, which creates a large opening that prevents content retention. Twenty-one consecutive patients with a cyst with a diameter of greater than 2 mm were treated by this method. Videostroboscopy and voice function assessments were performed preoperatively and postoperatively.
Results:
The procedure was completed on all patients without difficulty. Voice function assessments showed statistically significant improvement postoperatively. Videostroboscopy showed improved vocal fold vibration postoperatively in all patients, although in 9 patients the postoperative wound with mild local stiffness was observable. Recurrence was noted in 1 patient.
Conclusions:
The wide-opening method is simple in technique, especially when the cyst is large. Voice improvement can be achieved postoperatively, and the recurrence rate is low.
