Kim Joo Hyun, Kim Myeong Hee, Ahn Hong Geun, Choi Hong-Shik, Byeon Hyung Kwon
Department of Otorhinolaryngology-Head and Neck Surgery, Konyang University College of Medicine, Daejeon, Korea.
Department of Otorhinolaryngology, Institute of Logopedics and Phoniatrics, Yonsei University College of Medicine, Seoul, Korea.
Clin Exp Otorhinolaryngol. 2019 May;12(2):212-216. doi: 10.21053/ceo.2018.00808. Epub 2018 Nov 8.
A saccular cyst is defined as a dilated saccule of the larynx, filled with mucus, and is located between the false vocal cords and the thyroid cartilage. Although this uncommon laryngeal condition is benign in nature, it could lead to dyspnea, stridor, and airway obstruction, depending on its size and location. Furthermore, some saccular cysts have been associated with laryngeal carcinoma. This study aimed to characterize this rather uncommon laryngeal condition to aid in determining the proper management of this pathology.
Medical records were retrospectively reviewed of all patients with saccular cysts diagnosed and treated between 2006 and 2017 at a tertiary otolaryngologic care center.
Seven patients with saccular cysts were identified (male:female=2:5; mean age, 34.1 years); two were pediatric patients. Surgical intervention was performed in all patients by laryngo-microsurgery using CO2 laser. There was no recurrence after the initial surgical treatment.
Saccular cysts can be managed endoscopically using CO2 laser, without requiring an external approach. Therefore, an endoscopic approach should be actively considered for an optimal treatment outcome.
囊状囊肿被定义为喉部的一个扩张的囊，充满黏液，位于假声带和甲状软骨之间。尽管这种不常见的喉部疾病本质上是良性的，但根据其大小和位置，可能会导致呼吸困难、喘鸣和气道阻塞。此外，一些囊状囊肿与喉癌有关。本研究旨在描述这种相当不常见的喉部疾病，以帮助确定对该病理状况的适当处理。
回顾性分析2006年至2017年在一家三级耳鼻喉科护理中心诊断和治疗的所有囊状囊肿患者的病历。
确定了7例囊状囊肿患者（男：女 = 2：5；平均年龄34.1岁）；其中2例为儿科患者。所有患者均通过使用二氧化碳激光的喉显微手术进行了手术干预。初次手术治疗后无复发。
囊状囊肿可通过二氧化碳激光在内镜下进行处理，无需外部入路。因此，为获得最佳治疗效果，应积极考虑采用内镜入路。
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