,
Deeksha Devaki Devaraj,
Thrupthi Galigekere Munishwara,
Swarna Kamala Sugantharajan,
Vinay Shridhar Bhat
Introduction: Lymphoepithelial cyst (LEC) of vallecula is an uncommon benign lesion. Cysts in vallecula can present with odynophagia, dysphagia, dysphonia and stridor. Many times, they can be asymptomatic. They can pose difficulty in intubation. On endoscopic evaluation it may mimic the appearance of a lipoma because of its yellowish appearance. Management of this requires adequate visualization and instrumentation. It can be done under endoscopic guidance or laryngoscopy by using cold steel method or laser or coblator. Because of rarity of the lesion, case has been reported. Case report: A 54-year-old male presented with odynophagia. An upper gastrointestinal endoscopy done by gastroenterologist revealed a mass in left vallecula and was then referred to otorhinolaryngologist. Excision was done using coblator under endoscopic guidance under general anaesthesia. Coblator enabled precise excision with adequate hemostasis without multiple repeated instrumentations. Histopathology confirmed it as a Lymphoepithelial cyst. Patient was discharged the next day with oral antibiotics and analgesics and at follow up was asymptomatic and endoscopic examination showed a well healed site of the lesion. Conclusion: Lymphoepithelial cyst of vallecula is a rare lesion. It can be excised using coblator under endoscopic guidance with advantage of having better precision, reduced bleeding, faster recovery compared to conventional methods. This technique can be used for other vallecular benign lesions as well.
| Published in | Advances in Surgical Sciences (Volume 13, Issue 1) |
| DOI | 10.11648/j.ass.20251301.11 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Lymphoepithelial Cyst, Vallecula, Coblator, Endoscopy
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APA Style
Bhyranna, M. G., Devaraj, D. D., Munishwara, T. G., Sugantharajan, S. K., Bhat, V. S. (2025). Management of Lymphoepithelial Cyst of Vallecula by Coblator, a Case Report and Literature Review. Advances in Surgical Sciences, 13(1), 1-4. https://doi.org/10.11648/j.ass.20251301.11
ACS Style
Bhyranna, M. G.; Devaraj, D. D.; Munishwara, T. G.; Sugantharajan, S. K.; Bhat, V. S. Management of Lymphoepithelial Cyst of Vallecula by Coblator, a Case Report and Literature Review. Adv. Surg. Sci. 2025, 13(1), 1-4. doi: 10.11648/j.ass.20251301.11
AMA Style
Bhyranna MG, Devaraj DD, Munishwara TG, Sugantharajan SK, Bhat VS. Management of Lymphoepithelial Cyst of Vallecula by Coblator, a Case Report and Literature Review. Adv Surg Sci. 2025;13(1):1-4. doi: 10.11648/j.ass.20251301.11
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Download@article{10.11648/j.ass.20251301.11,
author = {Munishwara Galigekere Bhyranna and Deeksha Devaki Devaraj and Thrupthi Galigekere Munishwara and Swarna Kamala Sugantharajan and Vinay Shridhar Bhat},
title = {Management of Lymphoepithelial Cyst of Vallecula by Coblator, a Case Report and Literature Review
},
journal = {Advances in Surgical Sciences},
volume = {13},
number = {1},
pages = {1-4},
doi = {10.11648/j.ass.20251301.11},
url = {https://doi.org/10.11648/j.ass.20251301.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20251301.11},
abstract = {Introduction: Lymphoepithelial cyst (LEC) of vallecula is an uncommon benign lesion. Cysts in vallecula can present with odynophagia, dysphagia, dysphonia and stridor. Many times, they can be asymptomatic. They can pose difficulty in intubation. On endoscopic evaluation it may mimic the appearance of a lipoma because of its yellowish appearance. Management of this requires adequate visualization and instrumentation. It can be done under endoscopic guidance or laryngoscopy by using cold steel method or laser or coblator. Because of rarity of the lesion, case has been reported. Case report: A 54-year-old male presented with odynophagia. An upper gastrointestinal endoscopy done by gastroenterologist revealed a mass in left vallecula and was then referred to otorhinolaryngologist. Excision was done using coblator under endoscopic guidance under general anaesthesia. Coblator enabled precise excision with adequate hemostasis without multiple repeated instrumentations. Histopathology confirmed it as a Lymphoepithelial cyst. Patient was discharged the next day with oral antibiotics and analgesics and at follow up was asymptomatic and endoscopic examination showed a well healed site of the lesion. Conclusion: Lymphoepithelial cyst of vallecula is a rare lesion. It can be excised using coblator under endoscopic guidance with advantage of having better precision, reduced bleeding, faster recovery compared to conventional methods. This technique can be used for other vallecular benign lesions as well.
},
year = {2025}
}
TY - JOUR T1 - Management of Lymphoepithelial Cyst of Vallecula by Coblator, a Case Report and Literature Review AU - Munishwara Galigekere Bhyranna AU - Deeksha Devaki Devaraj AU - Thrupthi Galigekere Munishwara AU - Swarna Kamala Sugantharajan AU - Vinay Shridhar Bhat Y1 - 2025/03/31 PY - 2025 N1 - https://doi.org/10.11648/j.ass.20251301.11 DO - 10.11648/j.ass.20251301.11 T2 - Advances in Surgical Sciences JF - Advances in Surgical Sciences JO - Advances in Surgical Sciences SP - 1 EP - 4 PB - Science Publishing Group SN - 2376-6182 UR - https://doi.org/10.11648/j.ass.20251301.11 AB - Introduction: Lymphoepithelial cyst (LEC) of vallecula is an uncommon benign lesion. Cysts in vallecula can present with odynophagia, dysphagia, dysphonia and stridor. Many times, they can be asymptomatic. They can pose difficulty in intubation. On endoscopic evaluation it may mimic the appearance of a lipoma because of its yellowish appearance. Management of this requires adequate visualization and instrumentation. It can be done under endoscopic guidance or laryngoscopy by using cold steel method or laser or coblator. Because of rarity of the lesion, case has been reported. Case report: A 54-year-old male presented with odynophagia. An upper gastrointestinal endoscopy done by gastroenterologist revealed a mass in left vallecula and was then referred to otorhinolaryngologist. Excision was done using coblator under endoscopic guidance under general anaesthesia. Coblator enabled precise excision with adequate hemostasis without multiple repeated instrumentations. Histopathology confirmed it as a Lymphoepithelial cyst. Patient was discharged the next day with oral antibiotics and analgesics and at follow up was asymptomatic and endoscopic examination showed a well healed site of the lesion. Conclusion: Lymphoepithelial cyst of vallecula is a rare lesion. It can be excised using coblator under endoscopic guidance with advantage of having better precision, reduced bleeding, faster recovery compared to conventional methods. This technique can be used for other vallecular benign lesions as well. VL - 13 IS - 1 ER -
Department of Ear Nose Throat, Siddaganga Medical College and Research Institute, Tumakuru, Karnataka, India
Department of Ear Nose Throat, Indira Gandhi Institute of Child Health, Bangalore, Karnataka, India
Bangalore Medical College and Research Institute, Bangalore, Karnataka, India
Department of Pathology, Cytecare Hospital, Bangalore, Karnataka, India
Department of Ear Nose Throat, Siddaganga Medical College and Research Institute, Tumakuru, Karnataka, India
