A Single-Arm, Prospective Study of Laser-Assisted Marsupialization for Epiglottic Cysts in Adults

초록

Background and Objectives The aim of the current study is to estimate the feasibility of CO2 laser-assisted marsupialization for epiglottic cysts under laryngeal micro-surgery. Materials and Methods Investigations were performed prospectively in 18 consecutive patients who had undergone laser marsupialization for epiglottic cysts. The following data as clinical factors were collected from participants: gender, age, symptoms and tumor size at presentation, pathologic data, symptom improvement, postoperative complications, and recurrence. Results The study population consisted of 12 male and 16 female patients with a mean age of 55.7 years. The most common symptom was globus sensation (50%). The mean size of the cysts was 2.7 cm, and, histologically, 12 patients (66.7%) had epithelial cyst, four patients (22.2%) tonsillar cyst, and two patients (11.1%) oncocytic cyst. There was no occurrence of significant complications or recurrence during the follow-up period in all patients. Conclusion Laser-assisted marsupialization under a laryngomicroscope for epiglottic cysts may be a useful technique compared with complete removal.

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