Airway-obstructing saccular cysts in adults are rare laryngeal anomalies. Treatment with tracheotomy may be needed for control of the airway, often followed by marsupialization of the cyst wall. Unfortunately, recurrence rates are high following marsupialization. We describe 2 patients with saccular cysts obstructing the airway and discuss airway management and the results following complete endoscopic carbon dioxide laser excision. Both patients had normal voice and swallowing function postoperatively and are disease free.
Danish HMN, Meleca RJ, Dworkin JP, Abbarah TR. Laryngeal Obstructing Saccular CystsA Review of This Disease and Treatment Approach Emphasizing Complete Endoscopic Carbon Dioxide Laser Excision. Arch Otolaryngol Head Neck Surg. 1998;124(5):593-596. doi:10.1001/archotol.124.5.593