Vocal fold cyst

March 31, 2010     Amy L. Rutt, DO and Robert T. Sataloff, MD, DMA, FACS

Dermoid cyst of the parotid gland

February 1, 2010     Behrad Aynehchi, MD, Jason G. Newman, MD, and John S. Brooks, MD


A dermoid cyst is an ectodermally differentiated form of teratoma. Its occurrence in the parotid gland is very rare. Such a presentation must be properly evaluated in order to rule out malignancy. We describe the diagnostic evaluation and surgical management of a parotid dermoid cyst in an 18-year-old man. We also review the embryologic pathogenesis of the tumor and the usefulness of the physical examination, preoperative fine-needle aspiration cytology, magnetic resonance imaging, and computed tomography in evaluating the extent of the tumor, its histologic features, and its cystic characteristics. Finally, we discuss the role of surgical management in terms of preserving facial nerve integrity and preventing recurrence.

Calcified maxillary cyst secondary to a foreign-body reaction at the site of a remote tooth extraction

January 1, 2010     Alexander Langerman, MD, Farhad Sigari, MS, MD, and Robert Naclerio, MD


Unilateral sinus disease has a wide differential diagnosis. When a patient has a history of maxillary dental work on the same side as the sinusitis, a foreign entity introduced during or subsequent to the dental manipulation must be considered. We present a case of calcified maxillary cyst that was discovered at the site of a remote tooth extraction. Pathologic analysis revealed the presence of vegetable matter within the cyst. To the best of our knowledge, no case of a maxillary cyst secondary to vegetable matter has been previously reported in the literature.

A large, persistent, solitary vellus hair cyst in the postauricular area

December 1, 2009     Joo-Hyung Lee, MD, Min-Young Bae, MD, Byoung-Hoon Lee, MD, and Min-Kyo Jung, MD


Vellus hair cysts typically appear as numerous small papules in the precordial area in children. Treatment is generally not necessary as most cases resolve spontaneously. We report a case of a vellus hair cyst that was unique in that it manifested as a solitary mass in the postauricular area and it had persisted for 16 years. The tumor was surgically excised. We also review the literature on this condition.

First branchial cleft cyst (type II)

October 31, 2009     Gadodia Ankur, MD, DNB, Ashu Seith Bhalla, MD, and Raju Sharma, MD

Laryngeal oncocytic cyst presenting with an acute onset of stridor

June 30, 2009     Paramesh M. Puttasiddaiah, MRCS, Sandeep Berry, MRCS, Heikki B. Whittet, FRCS, and Manoj Kumar, FRCS


Oncocytic lesions of the larynx are rare. When they have occurred, their presentation has been varied; these tumors may be completely asymptomatic and discovered incidentally, but more commonly they present with voice alteration. We report a case of an oncocytic cyst in a patient who presented with an acute onset of stridor. We also discuss the clinical manifestations and management of laryngeal oncocytic cyst and its relevant pathologic features.

Peripheral cysts: A distinguishing feature of esthesioneuroblastoma with intracranial extension

May 31, 2009     Jeffrey Tseng, MD, Michelle A. Michel, MD, and Todd A. Loehrl, MD


Esthesioneuroblastoma is a rare malignancy that arises in the olfactory epithelium. We report an interesting case of esthesioneuroblastoma in an 82-year-old man that included an unusual but characteristic imaging feature of this tumor: cysts at the tumor-brain interface. The patient declined primary surgical resection and elected to undergo primary radiation therapy. At 2 years of follow-up, he remained disease-free. The rarity of this tumor and its unique natural history can lead to a complicated assessment of the clinical picture. We review the diagnostic and treatment alternatives.

Nasal dermoid cyst: Two cases

March 31, 2009     Esther Garazi, BS and Soham Roy, MD

Sudden-onset life-threatening stridor in an adult caused by a laryngeal ductal cyst

March 1, 2009     Ozan Bagis Ozgursoy, MD, Hunkar Batikhan, MD, Suha Beton, MD, and Gursel Dursun, MD


Laryngeal cysts are rare in adults; therefore, the majority of previous reports deal primarily with laryngeal cysts in infants and children. Ductal cysts of the larynx arise from the submucous glands when the ducts of these glands are occluded. They are most commonly located in the vallecula. In this report, we present a rare cause of life-threatening stridor in adults, a large ductal cyst of the larynx that was removed via endoscopic CO2 laser resection. On the basis of clinical observations during the postoperative period, we conclude that endoscopic CO2 laser resection is a reliable and safe method for removing cysts of the larynx. It is also a cost-effective procedure that minimizes hospitalization time and the need for tracheotomy.

Laryngeal saccular cyst in an infant

January 1, 2009     Kevin D. Pereira, MD, MS

Endoscopic view of a maxillary dentigerous cyst

May 31, 2008     Dewey A. Christmas, MD, Joseph P. Mirante, MD, FACS, and Eiji Yanagisawa, MD, FACS

Dentigerous cyst of the maxilla with impacted tooth displaced into orbital rim and floor

March 1, 2008     Morton Litvin, DDS, Domenic Caprice, DMD, and Leonard Infranco, DMD


We report a case of dentigerous cyst of the maxilla and maxillary sinus that caused the ectopic displacement of an unerupted tooth into the orbital rim and floor. After an incisional biopsy, marsupialization of the lesion promoted its involution and stimulated osteogenesis. This in turn simplified the surgical enucleation of the specimen and removal of the unerupted tooth without the excessive loss of the bony contours of the maxilla.

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