Two Cases of Giant Epiglottic Cyst

Abstract

An epiglottic cyst is one of the more common laryngeal diseases; however, its treatment is not always easy. We reported here two cases of enormous epiglottic cyst.
The first case was a 75-year-old woman who has been complaining of an abnormal feeling in her pharynx for ten years. An extremely large cyst was found in the epiglottis with a smooth surface and a wide stalk stem. Two thirds of the vocal cord were not observable. In order to avoid rupturing the cyst, an intranasal intubation was performed while guided by endoscopy. The cyst was entirely removed by laryngomicrosurgery. She discharged 10 days after surgery.
The second case was a 53-year-old man. A giant cyst was found coincidentally with a photogastroscope during a medical examination. He had not complicated of any laryngeal symptoms. The cyst was poorly mobile and had a wide stalk. The day before surgery, a puncture of the cyst was performed under topical anesthesia using indirect laryngoscopy to reduce the volume. An oral intubation was then done for general anesthesia. The cyst was entirely removed by laryngomicrosurgery without any problem. He was discharged three days after surgery.