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Wide opening method for vocal fold retention cyst

S K Tai1, S Y Chang

  • 1Department of Otolaryngology, Veterans General Hospital-Taipei, Taiwan, R.O.C.

Zhonghua Yi Xue Za Zhi = Chinese Medical Journal; Free China Ed
|April 1, 1997
PubMed
Summary

A new wide opening method for vocal fold retention cysts offers a simpler, less invasive treatment. This technique improves voice quality with rapid recovery and low recurrence rates for medium to large cysts.

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Area of Science:

  • Otolaryngology
  • Laryngology
  • Surgical Innovation

Background:

  • Vocal fold cysts, primarily retention cysts, are a common cause of dysphonia.
  • Traditional microlaryngoscopic enucleation can lead to cyst rupture.
  • A novel approach is presented to address these limitations.

Purpose of the Study:

  • To introduce and evaluate a "wide opening method" (marsupialization) for vocal fold retention cysts.
  • To assess the efficacy and safety of this technique for medium- to large-sized cysts.

Main Methods:

  • Twenty patients with vocal fold retention cysts (>2 mm) underwent the wide opening method.
  • The procedure involved excising the medial cyst wall with overlying mucosa while preserving the lateral wall.
  • This created a wide opening to marsupialize the cyst.

Main Results:

  • Postoperative perceptual voice improvement was observed.
  • Videostroboscopy and acoustic analysis corroborated the perceptual findings.
  • The technique demonstrated simplicity and minimal tissue injury.

Conclusions:

  • The wide opening method offers advantages including simplicity, minimal tissue injury, and rapid functional recovery.
  • It is associated with a low recurrence rate.
  • This technique is a viable alternative standard treatment for medium- or large-sized vocal fold retention cysts.

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