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Transoral laser marsupialization of epiglottic cysts
1Department of Otolaryngology and the Voice Beauty Center, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung Hsien, Taiwan. voicebeautysu@yahoo.com.tw
Objective:
The objective of this study is to investigate the safety and effectiveness of laser marsupialization of epiglottic cysts via a transoral route.
Study Design:
A prospective clinical series.
Methods:
Twenty-eight consecutive patients with epiglottic cyst underwent laser marsupialization of an epiglottic cyst via a transoral approach. Pre- and postoperative laryngoscopic examinations were carried out.
Results:
A total of 28 patients were enrolled, including 19 males and 9 females, ranging in age from 38 to 69 years, with a mean age of 54 years. Among these patients, 23 had a lumpy throat, and the remaining 5 had a voice alternation. The diameters of the cysts ranged from 1 to 3 cm. No perioperative bleeding or airway swelling was noted in any patient. The postoperative follow-up period ranged from 4 to 41 (mean, 16) months. No recurrence was found during the follow-up examinations.
Conclusion:
Transoral laser marsupialization is a simple, safe, and effective method for treatment of epiglottic cysts. This procedure has the potential to serve as the treatment of choice in the management of this condition.
