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Dr. Pradeep Shenoy, MD, FRCS, FACS, DLO,

ENT & Neck Surgeon, Campbellton Regional Hospital, Campbellton, New Brunswick, Canada.

CLINICAL TOOLS

Abstract: This case study reviews the clinical presentation and treatment of a patient’s vascular cyst. Though it is a rare diagnosis/condition, it could be a medical emergency for an individual of any age. Described here is a new approach for the complete excision of the vallecular cyst.
Key Words: vallecular cyst, excision, zero-degree nasal endoscope
Vallecular cysts are retention cysts in the Vallecular—a space between the base of the tongue, epiglottis and lateral pharyngeal wall.
They are triggered by acid reflux and smoking.
Vallecular cyst can be seen in CT Scan and laryngoscopy examination.
The access is difficult trans-orally. Here we are describing New approach using a zero-degree endoscope.
Vallecular cysts are rare in the paediatric and adult age groups.
Vallecular cysts can present as asymptomatic when small, however, when big they can present as a feeling of some food stuck in the throat or pain.
In emergency situation can block the food and airway passage and require emergency treatment.
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