Dr. Basavraj P Belaldavar

Background:A saccular cyst of the larynx is a mucous filled dilatation of the laryngeal saccule.It is an uncommon laryngeal anomaly that needs early diagnosis and timely management as they can mimic or be associated with other more serious laryngeal pathology including carcinoma of the larynx. Case report:A 45 year old female presented to ENT OPD with throat pain and change in voice since 3 months. Indirect laryngoscopy revealed a smooth bulge over right false vocal cord, obliterating the visualisation of the right true vocal cord,with normal mobility. CECT scan showed well defined soft tissue lesion involving right false vocal cord. USG guided FNAC was done revealed features suggestive of benign cystic lesion.Patient was started on IV antibiotics and oral steroid.Patient showed drastic improvement symptomatically and clinically which was confirmed with regular Indirect laryngoscopy. Conclusion:Saccular cyst although uncommon should be included in the differential of any laryngeal mass. Once recognized early, they can be effectively and safely treated.