Excision of vallecular cyst in an adult: A case report

Öz

Vallecular cysts are rare benign laryngeal lesions that may remain asymptomatic in adults but can cause dysphonia, dysphagia, and airway compromise when enlarged. In this study, it is aimed to evaluate the clinical features and surgical management of a large adult vallecular cyst. We retrospectively analyzed the clinical, laboratory, and imaging data of a 64-year-old female patient who presented with globus sensation, intermittent dysphonia, and persistent pharyngeal irritation. Endoscopic laryngeal examination and computed tomography (CT) demonstrated a well-circumscribed 3×2 cm cystic lesion arising from the lingual surface of the epiglottis. Suspension laryngoscopy was performed under general anesthesia, and the cyst was completely excised using a transoral submucosal microdissection technique. Total excision was achieved without intraoperative or postoperative complications. Histopathology confirmed a benign laryngeal epithelial cyst consistent with a vallecular cyst. Symptoms resolved immediately, and no early recurrence was observed during follow-up. Complete transoral excision with submucosal microdissection is a safe and effective treatment for large vallecular cysts in adults. Total cyst wall removal is critical to prevent recurrence and ensure full symptomatic recovery.

Anahtar Kelimeler

• Vallecular Cyst
• Suspension laryngoscopy
• Submucosal microdissection
• Laryngeal cyst

Yetişkin hastada vallecular kist eksizyonu: Vaka sunumu

Öz

Vallekular kistler, erişkinlerde asemptomatik seyredebilen ancak büyüdüklerinde disfoni, disfaji ve hava yolu kompromisine yol açabilen nadir benign laringeal lezyonlardır. Bu çalışmada, erişkin bir hastada saptanan büyük vallekular kistin klinik özellikleri ve cerrahi tedavisinin literatür eşliğinde değerlendirilmesi amaçlanmıştır. Globus hissi, aralıklı ses kısıklığı ve inatçı faringeal irritasyon şikayetiyle başvuran 64 yaşında kadın hastanın klinik, laboratuvar ve görüntüleme verileri retrospektif olarak incelendi. Endoskopik laringeal muayene ve bilgisayarlı tomografi (BT), epiglotun lingual yüzeyinden kaynaklanan, iyi sınırlı 3×2 cm'lik kistik bir lezyon ortaya koydu. Genel anestezi altında süspansiyon laringoskopi uygulandı ve kist, transoral submukozal mikrodiseksiyon tekniğiyle tamamen eksize edildi. İntraoperatif veya postoperatif komplikasyon gelişmeksizin total eksizyon sağlandı. Histopatoloji, vallekular kist ile uyumlu benign laringeal epitelyal kisti doğruladı. Semptomlar ameliyat sonrasında hemen geriledi ve takip sürecinde erken nüks gözlemlenmedi. Transoral submukozal mikrodiseksiyon ile tam eksizyon, erişkinlerde büyük vallekular kistlerin tedavisinde güvenli ve etkili bir yöntemdir. Nüksü önlemek ve tam semptomatik iyileşmeyi sağlamak için kist duvarının bütünüyle çıkarılması kritik önem taşımaktadır.

Anahtar Kelimeler

• Vallecular Cyst
• Suspension Laryngoscopy
• Submucosal Microdissection
• Laryngeal Cyst

Kaynakça

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