Transoral laser marsupialization of epiglottic cysts

OBJECTIVE: The objective of this study is to investigate the safety and effectiveness of laser marsupialization of epiglottic cysts via a transoral route. STUDY DESIGN: A prospective clinical series. METHODS: Twenty-eight consecutive patients with epiglottic cyst underwent laser marsupialization of an epiglottic cyst via a transoral approach. Pre- and postoperative laryngoscopic examinations were carried out. RESULTS: A total of 28 patients were enrolled, including 19 males and 9 females, ranging in age from 38 to 69 years, with a mean age of 54 years. Among these patients, 23 had a lumpy throat, and the remaining 5 had a voice alternation. The diameters of the cysts ranged from 1 to 3 cm. No perioperative bleeding or airway swelling was noted in any patient. The postoperative follow-up period ranged from 4 to 41 (mean, 16) months. No recurrence was found during the follow-up examinations. CONCLUSION: Transoral laser marsupialization is a simple, safe, and effective method for treatment of epiglottic cysts. This procedure has the potential to serve as the treatment of choice in the management of this condition.