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J Korean Soc Laryngol Phoniatr Logop > Volume 23(1); 2012 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2012;23(1): 52-55.
노르스름한 성대점막 색변화를 보이는 편평 성대 낭종: 개방형 성대 낭종
김지훈1, 이은정1, 김연희2, 홍현준1, 최홍식1
1연세대학교 의과대학 이비인후과학교실
2연세대학교 의과대학 병리학교실
An Yellowish Flat Intracordal Cyst : Open Cyst
Ji-Hoon Kim1, Eun-Jung Lee1, Yeon-Hee Kim2, Hyun-Jun Hong1, Hong-Shik Choi1
1Department of Otorhinolaryngology, Yonsei University College of Medicine
2Department of Pathology, Yonsei University College of Medicine
ABSTRACT
Background and Objectives : Based on histological findings, intracordal cysts are divided in two subtypes : retention cysts and epidermoid cysts. They are typically located in the superficial layer of the lamina propria and appeared as opaque ovoid buldging masses underlying the epithelium. They are characterized by unilateral diminished mucosal wave on stroboscopy. In this article, we report some cases of patients with an oval shaped-yellowish flat cyst. Materials and Method : At the clinic of the department of otorhinolaryngology in Gangnam Severance Hospital, with 3 female complained of hoarseness as subjects, using the stroboscopy we checked preoperative and postoperative vocal cord and operative findings. Surgery was performed under general anesthesia by the senior authors. All patients noted subjectively that their performing voice was improved. Results : During surgery, an oval shaped-yellowish flat cystic lesion was distinguished from normal epithelium. On palpation of this area with microforceps and cottons, the yellowish discharge was noted to move out from the opening of the cyst. In one case, the cyst was ruptured but remove the capsule completely. In other cases, sulcus was noted at the oppsite site. Conclusion : Because of the opening, the cyst was not easy to dissect and remove completely. After the debris was move out, fibrosis around the opening and invaginated epithelium extending into the deeper layers to the fold. The cyst was must removed carefully and completely for improvement of voice quality before evolving into a sulcus vocalis.
KEY WORDS: An yellowish flat intracordal cyst;Open cyst;Sulcus vocalis;
중심 단어: 편평 성대 낭종;개방형 성대 낭종;성대구증;
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