Provided by Cognitive Sciences ePrint Archive
Published Quarterly
Mangalore, S outh India
ISSN 0972-5997
Volume 2; Issue 3; July-September 2003
Case Report
I nnovative Surgical Technique in the Management of Vallecular Cyst
Sathish Bhandary,
Professor and Head, Dept. of ENT, K.S. Hegde Medical Academy, Deralakatte, INDIA-
575018
Citation: Bhandary S. I nnovative Surgical Technique in the Management of Vallecular Cyst.
Online J Health Allied Scs. 2003; 3: 2
U R L : http://www.ojhas.org/issue7/2003-3-2.htm
Open Acces s Archive: http: //cogprints.ecs.soton.ac.uk/view/subjects/OJHAS .html
Abstract:
A retention cyst arising from the vallecula in a
30year old man was surgically excised using an Eve’s
tonsillar snare and there was no recurrence after 6
months follow-up
I ntroduction:
Among the benign lesions in the larynx and
laryngopharynx , cystic lesions are common entities .
Vallecular Cysts are usually retention cysts of the
minor salivary glands. An innovative method of
s urgical treatment of one such case is presented
here.
Case report:
A 30 years old man presented with the history of
foreign body sensation in the throat since one month
and change in voice since 1 week. Preliminary
examination and indirect laryngoscopy revealed a
5x4cm transluscent swelling in the region of the
vallecula, obscuring the view of the larynx and
laryngopharynx.
Under endotracheal general anaesthesia, direct
laryngoscopy was done in the Boyce’s position, which
s howed the cystic mass arising from the vallecula.
(Fig.- 1)
Keeping in mind the conventional modalities of
treatment like marsupialisation, de-roofing etc., we
decided to opt for an innovative technique for
removal of the cyst, i.e. snaring.
Fig1 : I ntra-operative photograph of the vallecular cyst
Procedure: The Boyle-Davis mouth gag, used for
expos ure of the oropharynx for tonsillectomy, was
engaged and the cyst was adequately visualized. The
eve’s tons illar snare was engaged around the base of
the cyst and with its characteristic crushing action,
the cyst was removed. (Fig 2)