Laryngeal cysts: Clinical relevance of a modified working classification

University of Dundee, Dundee, Scotland, United Kingdom
The Journal of Laryngology & Otology (Impact Factor: 0.67). 11/1988; 102(10):923-5. DOI: 10.1017/S0022215100106814
Source: PubMed


Laryngeal cysts from 72 patients were examined and reclassified according to a modified working classification. In this series, 47 patients (66 per cent) had epithelial cysts, 11 patients (15 per cent) oncocytic cysts and 14 patients (19 per cent) tonsillar cysts. Epithelial cysts were commonest in the region of the epiglottis (20/47) and laryngeal ventricle (24/47). Oncocytic cysts tended to lie in the region of the ventricle whereas tonsillar cysts occurred almost exclusively in the valleculae, epiglottis and pyriform region (13/14). The authors conclude that the modified working classification of laryngeal cysts is easy to apply, of clinical relevance, and allows classification of cysts where operative trauma to the specimen obscures the relationship of the cyst to the surface epithelium. The origin and significance of tonsillar cysts are discussed and a relationship to the lympho-epithelial cyst of the oral cavity is suggested.

36 Reads
  • [Show abstract] [Hide abstract]
    ABSTRACT: We report a lateral saccular cyst of the larynx with both an internal and external component. The patient had a four year history of a cervical swelling and hoarseness. He presented acutely with stridor. The cyst was resected successfully without tracheostomy.
    The Journal of Laryngology & Otology 03/1990; 104(2):145-6. DOI:10.1017/S0022215100112101 · 0.67 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The case of a vallecular cyst in a neonate is described. The presentation was with failure to thrive. This previously unreported mode of presentation is discussed, and aspects of the management are emphasized. In particular, the value of flexible nasopharyngoscopy in assessing the neonatal laryngopharynx is highlighted.
    The Journal of Laryngology & Otology 06/1992; 106(5):448-9. DOI:10.1017/S0022215100119796 · 0.67 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To evaluate the sonographic appearance of laryngeal cysts, ultrasound examinations of 7 patients were evaluated retrospectively. The ultrasound studies were correlated with endoscopic findings. In two cases, the diagnosis was confirmed histologically, and in 4 patients, a CT examination was additionally performed. The endolaryngeal space could be well seen if the thyroid cartilage was not calcified (n = 6), whereas in one patient, the endolaryngeal part of the cyst could not be seen because of complete calcification of the thyroid cartilage. The laryngeal cysts presented as unechoic (n = 4) or hypoechoic (n = 3) masses, which demonstrated smooth margins in all cases and ranged in size from 6 to 38 mm. In three cases, the cyst was located in the endolaryngeal space, and in 4 cases, it extended cranial of the thyroid cartilage into the pre-epiglottic space. All cysts were closely related to the inner surface of the thyroid cartilage, from which they were delineated by a thin hyperechoic band in all cases.
    RöFo - Fortschritte auf dem Gebiet der R 08/1993; 159(1):38-42. DOI:10.1055/s-2008-1032718 · 1.40 Impact Factor
Show more