TY - JOUR
T1 - Adult vallecular cyst
T2 - Thirteen-year experience
AU - Berger, Gilead
AU - Averbuch, Eran
AU - Zilka, Keren
AU - Berger, Rachel
AU - Ophir, Dov
PY - 2008/3
Y1 - 2008/3
N2 - Objective: To assess the characteristics of adult vallecular cyst. Study Design and Settings: A retrospective chart review from a university affiliated hospital. Subjects and Methods: Clinical manifestations and airway management of 38 consecutive adult patients with vallecular cyst admitted between 1992 and 2004 were studied. Results: Two distinct groups were identified: infected (n = 24) and noninfected (n = 14). Twenty-two (91.7%) patients of the former group had acute epiglottitis with an abrupt onset culminating in abscess formation in 19 (79.2%) and airway compromise in 9 (37.5%) compared with none in the noninfected group (P = 0.006). In 4 (18.2%) of 22 patients, the origin of the infected vallecular cyst was evident only after symptoms subsided. Three patients had recurrent acute epiglottitis. The noninfected group had a relatively prolonged mild clinical course. Conclusions: Two types of vallecular cysts were characterized. Abscess formation was the hallmark of adult infected vallecular cyst. Significance: To improve patient care, endoscopic follow-up is advocated. In patients with recurrent episodes of acute epiglottitis, imaging is recommended.
AB - Objective: To assess the characteristics of adult vallecular cyst. Study Design and Settings: A retrospective chart review from a university affiliated hospital. Subjects and Methods: Clinical manifestations and airway management of 38 consecutive adult patients with vallecular cyst admitted between 1992 and 2004 were studied. Results: Two distinct groups were identified: infected (n = 24) and noninfected (n = 14). Twenty-two (91.7%) patients of the former group had acute epiglottitis with an abrupt onset culminating in abscess formation in 19 (79.2%) and airway compromise in 9 (37.5%) compared with none in the noninfected group (P = 0.006). In 4 (18.2%) of 22 patients, the origin of the infected vallecular cyst was evident only after symptoms subsided. Three patients had recurrent acute epiglottitis. The noninfected group had a relatively prolonged mild clinical course. Conclusions: Two types of vallecular cysts were characterized. Abscess formation was the hallmark of adult infected vallecular cyst. Significance: To improve patient care, endoscopic follow-up is advocated. In patients with recurrent episodes of acute epiglottitis, imaging is recommended.
UR - http://www.scopus.com/inward/record.url?scp=39649102138&partnerID=8YFLogxK
U2 - 10.1016/j.otohns.2007.12.008
DO - 10.1016/j.otohns.2007.12.008
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C2 - 18312879
AN - SCOPUS:39649102138
SN - 0194-5998
VL - 138
SP - 321
EP - 327
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 3
ER -