Clinical Characteristics and Treatment Result of Laryngeal Cysts

후두에 발생한 낭종의 임상양상 및 치료 결과

  • Kim, Tae-Su (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kang, Woo-Suk (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Choi, Seong-Ho (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Roh, Jong-Lyel (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Kim, Sang-Yoon (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Nam, Soon-Yuhl (Department of Otolaryngology, Asan Medical Center, College of Medicine, University of Ulsan)
  • 김태수 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 강우석 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 최승호 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 노종렬 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 김상윤 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 남순열 (울산대학교 의과대학 서울아산병원 이비인후과학교실)
  • Published : 2006.06.15

Abstract

Background and Objectives: The purposes of this study are to find out clinical causes, clinical characteristics and treatment outcomes in relation to anatomical location of laryngeal cyst. Subjects and Method: A retrospective study of medical records was carried out for 170 patients with cysts on vocal cord, epiglottis, vallecula, arytenoid and aryepiglottic fold. Results: There were 83 cases of epiglottic cysts, 41 cases of vallecular cysts, 35 cases of intracordal cysts, 3 cases of arytenoid cysts and 2 cases of aryepiglottic cysts. Laryngeal cysts were more common in men than in women, and the ratio between men and women was 2:1. The age of patients ranged from 7 to 90 years, with their average age being 52 years. The most common symptom was voice change at intracordal cysts and globus sensation at vallecular and epiglottic cysts. The most common cause of intracordal cysts were voice abuse. But other location of laryngeal cysts doesn't have common causes. The average size of cysts was 0.3cm at vocal cord, 1.43cm at epiglottis, 1.4cm at vallecula, 0.9cm at arytenoid and 1cm at aryepiglottis. Recurrence was observed in 7 cases from 1 months to 18 months following the operation. Size of all recurred cysts was over the average. Conclusion: Physicians should be aware of changes in clinical patterns of laryngeal cysts according to location and have long follow-up period at large cysts after operation.

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