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Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Vocal cysts: clinical, endoscopic, and surgical aspects
Regina Helena Garcia Martins1, Marcela Ferreira Santana, Elaine Lara Mendes Tavares
1Department of Otorhinolaryngology, Ophthalmology and Head and Neck Surgery, School of Medicine, São Paulo State University, Botucatu, São Paulo, Brazil. rmartins@fmb.unesp.br
Journal of Voice : Official Journal of the Voice Foundation
|February 23, 2010
Summary
Vocal cysts are benign lesions affecting vocal folds in children and adults, often linked to vocal overuse. Surgical removal is the primary treatment, with careful examination needed for associated laryngeal lesions.
Area of Science:
- Otolaryngology
- Laryngology
- Pathology
Background:
- Vocal cysts are benign lesions of the larynx affecting both pediatric and adult populations.
- They are histologically classified as either epidermic or mucous-retention cysts.
Purpose of the Study:
- To investigate the clinical, endoscopic, and surgical characteristics of vocal cysts.
- To analyze associated factors and treatment outcomes for vocal cysts.
Main Methods:
- Retrospective review of medical charts for 72 patients diagnosed with vocal cysts.
- Data collected included demographics, vocal symptoms, risk factors (vocal abuse, smoking, alcoholism), associated lesions, and histological findings.
Main Results:
- Vocal cysts occurred in 46 adults and 26 children, with a higher incidence in students and teachers.
- Chronic hoarseness was a universal symptom; vocal abuse was reported in 45.83% of cases.
- Unilateral cysts were predominant (93%), and 22 patients had associated lesions; surgical treatment was performed in 46 cases.
Conclusions:
- Vocal cysts are benign vocal fold lesions frequently associated with vocal overuse, particularly in professional voice users.
- Surgical excision is the treatment of choice, requiring thorough examination for coexisting laryngeal pathologies.
- Histological analysis differentiates between epidermic cysts (keratinized stratified squamous epithelium) and mucous cysts (ciliated columnar epithelium).
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