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Endoscopic marsupialization of vocal fold cysts under topical anesthesia was evaluated in 107 patients to determine its efficacy and outcomes. The recurrence rate was 4.7%, with all recurrent cases successfully treated with reoperation. Significant improvements in Voice Handicap Index (VHI), Maximum Phonation Time (MPT), and Pitch Range were observed at two to four weeks postoperatively and maintained at six months. This minimally invasive procedure, which avoids general anesthesia, demonstrated comparable recurrence rates to traditional methods while offering superior cost-effectiveness and faster recovery. These findings suggest that endoscopic marsupialization is an effective and patient-friendly alternative for managing vocal fold cysts.
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http://dx.doi.org/10.7759/cureus.85949 | DOI Listing |
VideoGIE
August 2025
Department of Gastroenterology and Hepatology, Royal Brisbane and Women's Hospital, Herston, Australia.
Background And Aims: Type III choledochal cysts consist of a cystic dilatation of the intraduodenal portion of the common bile duct and represent the rarest subtype, with a low risk of malignancy. Traditionally, choledochoceles are treated with surgical resection or endoscopic choledochal cyst fenestration with cannulation of the cyst via the native papilla and marsupialization using a sphincterotome. We describe a novel approach to management of a type IIIA choledochal cyst with endoscopic needle-knife division and marsupialization of a type IIIA choledochal cyst.
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June 2025
Otolaryngology - Head and Neck Surgery, National Hospital Organization (NHO) Kyushu Medical Center, Fukuoka, JPN.
Two distinct cases of giant epidermoid cysts in rare head and neck anatomical locations - one in the sublingual space and the other in the infratemporal fossa - are reported, highlighting the variability in presentation, imaging characteristics, and surgical management. Transoral excision of the cyst was selected for case 1 to minimize cosmetic concerns. For case 2, given the benign nature of the lesion and the patient's preference for a less invasive procedure, endoscopic marsupialization via a transnasal-transmaxillary approach was chosen.
View Article and Find Full Text PDFRadiol Case Rep
September 2025
Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Tornwaldt's cyst is a rare, congenital lesion of the nasopharynx due to incomplete regression of the notochordal-pharyngeal connection. It forms a midline cystic cavity in the pharyngeal bursa. While often asymptomatic, symptomatic cysts may cause nasal obstruction, postnasal drip, halitosis, occipital headache, or Eustachian tube dysfunction.
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June 2025
Otorhinolaryngology - Head and Neck Surgery, Tokyo Medical University, Tokyo, JPN.
Endoscopic marsupialization of vocal fold cysts under topical anesthesia was evaluated in 107 patients to determine its efficacy and outcomes. The recurrence rate was 4.7%, with all recurrent cases successfully treated with reoperation.
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July 2025
Department of Neurosurgery, Nara Medical University School of Medicine, 840 Shijo-cho, Kashihara, 634-8521, Nara, Japan.
Purpose: Although endonasal endoscopic surgery (EES) is widely used to treat symptomatic Rathke's cleft cysts (RCCs), the optimal surgical strategy remains unclear. We previously proposed that the anatomical relationship between RCCs and the anterior pituitary lobe may predict recurrence. This study aimed to evaluate clinical characteristics and long-term outcomes based on anatomical classification and to assess the impact of surgical method (marsupialization vs.
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