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Multiple Epidermal Inclusion Cysts of Epiglottis
1Department of Otorhinolaryngology-Head and Neck Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Kathmandu University Medical Journal (KUMJ)
|November 25, 2021
Summary
Epiglottic cysts, though rare in adults, can cause throat discomfort and sleep apnea. Prompt diagnosis via laryngoscopy and surgical removal are effective treatments for these benign laryngeal lesions.
Area of Science:
- Otolaryngology
- Laryngeal Pathology
Background:
- Epiglottic cysts are typically benign laryngeal lesions.
- While congenital forms can be severe, adult presentations are often asymptomatic or mildly symptomatic, affecting swallowing, speech, or respiration.
Observation:
- A case report details a 42-year-old woman experiencing a globus sensation, sleep apnea, and hoarseness.
- Mirror laryngoscopy revealed two large cysts on the epiglottis's free border.
Findings:
- Histopathology confirmed the lesions as epidermal inclusion cysts.
- This highlights a less common presentation of epiglottic cysts in adults.
Implications:
- Early recognition and diagnosis of epiglottic cysts through routine laryngoscopy are crucial.
- Surgical intervention, such as cyst removal or drainage, is the recommended treatment.
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