Bubble-shaped pathological bags typically filled with liquid, colloid (semi-liquid), oil or air that emerge in different tissues and organs of the body and cause many diseases are called as cysts. They are also called as tumors. They have no precise size, but differ. They are covered by a membrane-shaped cyst wall. They can be benign or malign. However, all cysts are treated as malignant cysts in case of canceration and after the examination, they are identified as benign or malign. Even when they are benign, they may cause serious problems based on the sensitivity of the area they emerge and their size. Most of them are removed by surgical operation. They are generally mistaken for an abscess covered with inflammation.
A pouch-like white or yellow lesion of benign tissue filled with liquid or fat, which is usually formed unilaterally in the middle part of the vocal cords as a result of embolization of the moisturizing tissue in the vocal cords area and the inability to drain the mucous fluid produced is called as Vocal Cord Cyst. They are not so common as nodules and polyps. It divides into two types, including Mucus Retention Cysts filled with liquid mucosa and Epidermoid/Sebaceous Cysts filled with keratin or fat.
Although the symptoms of vocal cord cyst vary from person to person, the cyst usually shows up with hoarseness and voice crack, vocal fatigue, difficulty in articulation, and sudden stinging in the throat during speech. Reflux increases the severity of the vocal cord cyst complaints as it is related to the muscles in the area close to the larynx.
The exact cause of the vocal cord cyst is not exactly known. It usually occurs due to inflammation or tissue blockage in the area where it is located. As in nodules or polyps, there are limited cases of cysts caused by only excessive or misuse of the voice. It is mostly caused by misuse of the voice during an upper respiratory infection (URI) or laryngitis problem (inflammation of the larynx). There are also cases occurring during the development of the baby in the mother's womb and seen at birth. Besides these factors, genetic problems, wens, hormonal irregularities and problems can also lead to vocal cord cysts.
Vocal cord cysts are generally diagnosed through correct and precise diagnosis by using endoscopic devices called laryngoscopy or stroboscopy, in which the vocal cords and their region are monitored, or by using a computer-acoustic analysis of the uttered sound. In line with this inspection, an in-depth examination of the vocal cords is performed by an ear, nose and throat doctor. Thus, it is discovered whether the complaints are caused by the vocal cord cyst. This is because vocal cord nodule, vocal cord cyst and vocal cord polyps show almost the same symptoms and are very similar in terms of appearance.
The vocal cord cyst treatment begins with non-surgical methods, as in all other diseases. Voice rest, steroids that stimulate the development of tissues by increasing protein synthesis in cells, anti-inflammatories and drugs used to treat reflux, smoking cessation programs, stress management, voice and speech therapies are primarily used. If no recovery is achieved using these methods, surgical intervention is administered. There are some opinions that apart from surgical intervention, all other methods fail in cyst treatment, only minimize but cannot completely destroy the cyst, and the infinite solution is only surgical intervention.
Vocal cord cyst surgery is generally safe and brings successful results. Although rare, the mucous structure on the vocal cords may be damaged. If the cyst is in an area that is difficult to remove or in an area that may damage the tissue, the desired result may not be obtained since a complete intervention will be avoided. Hoarseness may be experienced after the operation, but this is temporary.
Possible infection, bleeding and anesthesia risks encountered in all surgical interventions apply to vocal cord cyst surgery, too.
The great majority of people who have vocal cord cyst surgery recover within 3 months. However, this period can take up to 1 year.
After a vocal cord cyst is diagnosed, the whole or a part of cyst is removed by using endoscopic methods such as Phonomicrosurgery, Microlaryngoscopy. It is possible to clean the cysts of which removal is dangerous by emptying them with a needle instead of removing them by incision.
Both the cyst taken by incision but also the fluid or oil samples taken from the cyst emptied with a needle are inevitably subjected to pathological controls. As a result of the laboratory examination, it is decided whether to continue the treatment or to do another intervention, so the next process is planned.
Since the wrong behaviors in using voice are effective in the formation of the vocal cord cyst, it is recommended to receive a voice therapy at least 1 month after the operation in order to prevent recurrence of the cyst.
If you also have problems such as hoarseness, voice crack, vocal fatigue, difficulty in articulation, and sudden stinging in the throat during speech, you can reach us via our contact information and get more information and receive treatment in our health center that uses state-of-the-art technology tools and equipment for diagnosis and treatment of vocal cord disorders and priorities your special demands and needs.