A case of a large epiglottic cyst is reported. The patient was a 66-year-old woman who complained of a tumor in the pharynx and dyspnea. She was found to have a large mobile cystic mass in her mesopharynx. When she lay down, the mass entered the laryngeal lumen and she complained of dyspnea. We performed tracheostomy for general anesthesia and prevention of bleeding. The mass was removed under direct laryngoscopy using a WEERDA laryngoscope. The mass had a wide steal, but it could be removed completely. Histological examination revealed an epidermoid cyst, the wall of which was lined with squamous epithelium.