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Updated: Jul 7, 2026

Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
Adult vallecular cyst: thirteen-year experience
Gilead Berger1, Eran Averbuch, Keren Zilka
1ENT Histopathologic Research Laboratory, Meir Medical Center, Kfar Saba, Israel. berger45@netvision.net.il
Objective:
To assess the characteristics of adult vallecular cyst.
Study Design And Settings:
A retrospective chart review from a university affiliated hospital.
Subjects And Methods:
Clinical manifestations and airway management of 38 consecutive adult patients with vallecular cyst admitted between 1992 and 2004 were studied.
Results:
Two distinct groups were identified: infected (n = 24) and noninfected (n = 14). Twenty-two (91.7%) patients of the former group had acute epiglottitis with an abrupt onset culminating in abscess formation in 19 (79.2%) and airway compromise in 9 (37.5%) compared with none in the noninfected group (P = 0.006). In 4 (18.2%) of 22 patients, the origin of the infected vallecular cyst was evident only after symptoms subsided. Three patients had recurrent acute epiglottitis. The noninfected group had a relatively prolonged mild clinical course.
Conclusions:
Two types of vallecular cysts were characterized. Abscess formation was the hallmark of adult infected vallecular cyst.
Significance:
To improve patient care, endoscopic follow-up is advocated. In patients with recurrent episodes of acute epiglottitis, imaging is recommended.
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