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October 1989

Asphyxia due to a Sialocyst

Author Affiliations

Alexandria, La

Arch Otolaryngol Head Neck Surg. 1989;115(10):1254. doi:10.1001/archotol.1989.01860340108030

To the Editor.—I should like to report a death caused by asphyxia secondary to a sialocyst arising in the vallecula.

Report of a Case.—A 56-year-old black man was admitted for regulation of his serum glucose level. There was a 5-year history of treated hypertension and episodic congestive heart failure. Diabetes mellitus was noted 1 year prior to his death during an admission for a myocardial infarction. There was no history of laryngeal trauma or intubation; however, a right-sided enucleation had been performed many years before. Results of a physical examination were normal. He was found dead in bed unexpectedly early on the second hospital day.

Results of an autopsy revealed a 2-cm inclusion cyst hanging in a ball-valve fashion between the false cords. The cyst was at tached to a long pedicle that arose in the vallecula, just to the left of the midline, curving to the left and posteriorly

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