會厭囊腫與喉小囊囊腫為喉部非增生性腫瘤,通常是良性的,但是當囊腫大到影響呼吸時,不論是大人或小孩都曾有致死的報告。臺大醫院耳鼻喉科自1987年至1991年4年之間,收集了25例喉部囊腫接受手術的病例,其中會厭囊腫有15例,其餘10例為喉小囊囊腫。在15例會厭囊腫當中,男性10例,女性5例。年齡最小為20歲,最大為71歲,平均是45.2歲。呈現的症狀以喉部異物感居多(66.7%),好發位置以會厭的舌側表面上最多(86.7%)。至於10例喉小囊囊腫當中,男性8例,女性2例。年齡最小為14天,最大為68歲,平均是26.1歲。產生的症狀以聲音沙啞最常見(50%),發生位置有8例為前位喉小囊囊腫(anterior saccular cyst),另2例為側位喉小囊囊腫(lateral saccular cyst)。喉部囊腫的治療是採用切除或造口術,以避免復發為主要目的,我們只有1例會厭囊腫復發。
Epiglottic cysts and saccular cysts are non-neoplastic tumor of the larynx. Although they are usually benign in nature, mortalities due to airway obstruction caused by them have been reported. We encountered 25 cases of laryngeal cysts at the National Taiwan University Hospital in recent 4 years, including 15 epiglottic cysts and 10 saccular cysts. There were 10 males and 5 females with epiglottic cyst. The age distribution was from 20 to 71 years old with an average of 45.2. About 2/3 of the cases presented with lump in the throat, and 13/15 of the cysts were located in the lingual surface of the epiglottis. There were 8 males and 2 females with saccular cyst. The age distribution was from 14 days old to 68 years old with an average of 26.1 years old. Half of the cases presented with hoarseness. There were 8 anterior saccular cysts and 2 lateral saccular cysts. Excision or marsupialization via the laryngoscope was the treatment of choice for laryngeal cysts. After operation, only 1 case of epiglottic cyst recurred.