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Updated: May 5, 2026

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Asymptomatic vallecular cyst: case report.

Yucel Yuce1, Sennur Uzun, Ulku Aypar

  • 1Departamento de Anestesiologia e Reanimação, Faculdade de Medicina, Hacettepe University, Ancara, Turquia.

Brazilian Journal of Anesthesiology (Elsevier)
|November 23, 2013
PubMed
Summary

A vallecular cyst obstructed endotracheal intubation during glioblastoma surgery. Urgent cyst aspiration under direct laryngoscopy enabled successful intubation, offering an alternative to fiberoptic intubation.

Keywords:
ANATOMIACOMPLICAÇÕESCistosDoenças da LaringeEpigloteIntubação Traqueal

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Area of Science:

  • Anesthesiology
  • Neurosurgery
  • Otolaryngology

Background:

  • A 56-year-old male underwent surgery for intracranial glioblastoma multiforme.
  • Standard anesthetic induction and paralysis were administered, including propofol, fentanyl, and vecuronium.

Observation:

  • Direct laryngoscopy revealed a 2x2 cm pedunculated cyst in the vallecula, obstructing endotracheal intubation.
  • The cyst prevented the passage of an endotracheal tube.

Findings:

  • An otolaryngologist was consulted urgently.
  • The cyst was aspirated under direct laryngoscopy using a 22-gauge needle, yielding 10 cc of fluid.
  • Following aspiration, an uneventful tracheal intubation was achieved with a 9.0 enforced spiral cuffed tube.

Implications:

  • Cyst aspiration under direct laryngoscopy can be an effective alternative to fiberoptic intubation when faced with airway obstruction.
  • This technique facilitates endotracheal intubation in challenging surgical cases.