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Case Reports in Otolaryngology
Volume 2015, Article ID 723420, 3 pages
http://dx.doi.org/10.1155/2015/723420
Case Report

A Rare Entity: Adult Asymptomatic Giant Vallecular Cyst

1Bandırma State Hospital, Ear Nose and Throat Surgery Clinic, Bandırma, 10200 Balıkesir, Turkey
2Erzincan University, Ear Nose and Throat Surgery Clinic, 24100 Erzincan, Turkey
3Ankara Oncology Training and Research Hospital, Ear Nose and Throat Surgery Clinic, Yenimahalle, 06200 Ankara, Turkey

Received 21 October 2015; Revised 14 November 2015; Accepted 17 November 2015

Academic Editor: Seckin Ulualp

Copyright © 2015 Mümtaz Taner Torun et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Cysts in the larynx are rare and generally asymptomatic. However, large cysts in adults can be symptomatic. If they are symptomatic, they typically present with respiratory and feeding difficulties. They are usually benign in terms of pathology. Several surgical techniques may be used for treatment. Case Report. A 56-year-old man presented to our clinic with hoarseness. Routine laryngeal examination revealed a giant mass and the larynx could not be visualized. At magnetic resonance imaging (MRI), a cystic mass originating from the vallecula was detected. There was no pathology at the glottic level. We planned tracheotomy for the airway and endoscopic surgery for excision. The mass was excised using CO2 laser and was reported as benign. Conclusion. An asymptomatic vallecular cyst may cause difficult intubation in any operation. It may also cause respiratory or other complications. Airway management should be led by an ear, nose, and throat surgeon, since tracheotomy may be required. Endoscopic excision with CO2 laser is a good choice for treatment in elective cases. In this report, we discuss the diagnosis and treatment of a patient with an asymptomatic giant vallecular cyst.