Laryngeal cyst of unusual origin and presentation

Abstract

Branchial cysts are uncommon developmental anomalies rarely affecting the larynx. They arise mostly from the second branchial pouch, largely in the left anterior side of the neck. The peak incidence rate occurs in childhood. The most frequent clinical findings are voice disorders and respiratory distress of varying intensity. We describe a case of unusual presentation of IV branchial anomaly imitating a laryngeal cyst of typical epithelial origin. The lesion is reported also for its right-side location, advanced patient's age and long, uneventful history. The authors point out the need to consider also such a rare anomaly among other more frequent intralaryngeal lesions.