Simultaneously Presented Two Histopathologically Different Cysts in Unilateral Vocal Fold : A Case Report

일측 성대에 동시 발생한 다른 두 종류의 성대 낭종 1례

  • An, Soo-Youn (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Seoul National University Hospital) ;
  • Ahn, Young-Jin (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Seoul National University Hospital) ;
  • Sung, Myung-Whun (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Seoul National University Hospital) ;
  • Kim, Kwang-Hyun (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Seoul National University Hospital) ;
  • Kwon, Tack-Kyun (Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Seoul National University Hospital)
  • 안수연 (서울대학교 의과대학 이비인후-두경부외과학교실) ;
  • 안영진 (서울대학교 의과대학 이비인후-두경부외과학교실) ;
  • 성명훈 (서울대학교 의과대학 이비인후-두경부외과학교실) ;
  • 김광현 (서울대학교 의과대학 이비인후-두경부외과학교실) ;
  • 권택균 (서울대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2008.06.15

Abstract

A 66-year-old woman described a 6-month history of hoarseness after upper respiratory infection. She was a house wife and referred from an outside clinic under a diagnosis of vocal fold nodules. Strobovideolaryngoscopy revealed bilateral vocal fold lesions, and decreased mucosal wave of both vocal folds. She was brought to the operating room for microsuspension laryngoscopy. Under general anesthesia, dual intracordal cysts on left vocal fold were completely resected with microflap technique. The lesion on the right vocal fold turned out to be a reactive fibrous mass, which was also resected. Dual intracordal cysts were confirmed histopathologically. The one was an epidermoid cyst lined with squamous epithelium, and the other was a mucus retention cyst lined with cuboidal epithelium. Postoperative voice was acceptable by the patient and the mucosal vibration has much improved after the surgery.

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