Abstract
INTRODUCTION Vallecular pseudocysts are uncommon in infants and children, with a reported incidence of 18 per 100,000 live births.1 Although often asymptomatic in adults, vallecular pseudocysts can cause stridor, dyspnea, and feeding difficulties in infants and young children. Symptomatic vallecular pseudocysts are typically treated by transoral marsupialization under microscopic, endoscopic, or direct visualization. Patients who fail to respond to these traditional methods pose a surgical challenge to the otolaryngologist. A single previous report described a median laryngofissure approach for the excision of recurrent vallecular cysts.1 We describe a novel application of the transhyoid approach to treat recurrent vallecular pseudocysts in two pediatric patients. Our literature review suggests this is the first description of this surgical approach for this particular indication.
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