Degenerative Thyroid Cartilage Cysts as a Cause of Hoarseness

Calderon, Oscar; Solares, C. Arturo; Byrd, Michael C.; Hicks, Douglas M.; Strome, Marshall

doi:10.1001/archotol.133.9.936

Cited by 3 publications

(9 citation statements)

References 4 publications

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“…In 10 cases, these cysts were detected due to vocal complaints, the other seven were published as radiological findings, without information concerning the voice. In surgically treated cases, histopathology all showed the same: degenerative cyst of the thyroid cartilage, without signs of malignancy (Burgess and Yim, n = 1, Calderon et al, n = 2, Garrel et al, n = 1, Galline et al, n = 1), which is in line with our five cases. The etiology of these cartilage cysts remains elusive.…”

Section: Discussionsupporting

confidence: 88%

“…After a second intervention, after the outer cortex of the cyst was also removed, her voice quality returned to normal again. Cartilaginous cysts in the ala of the thyroid cartilage are very rare 1,2 the first report dates from 1985. 1 DeSanto et al, in their study of 238 cases with laryngeal cysts, arranged them in size and origin, but described mostly saccular and ductal cysts, not cartilaginous cysts.…”

Section: Discussionmentioning

confidence: 99%

“…Together with our own five cases, an overview of 17 cases consisting of patients aged from 13 to 83 years is summarized in Table I. [1][2][3][4][5][6][7][8] In 10 cases, these cysts were detected due to vocal complaints, the other seven were published as radiological findings, without information concerning the voice. In surgically treated cases, histopathology all showed the same: degenerative cyst of the thyroid cartilage, without signs of malignancy (Burgess and Yim, n = 1, 1 Calderon et al, n = 2, 2 Garrel et al, n = 1, 6 Galline et al, n = 1 7 ), which is in line with our five cases.…”

Section: Discussionmentioning

confidence: 99%

“…The etiology of these cartilage cysts remains elusive. Trauma has been hypothesized to contribute to its development, 1,2 with slow ossification over time, suggested by the observation of locally increased gadolinium uptake. 7 However, trauma was only reported in three cases, and the type of trauma was unspecified.…”

Section: Discussionmentioning

confidence: 99%

“…Cartilaginous cysts in the ala of the thyroid cartilage are very rare the first report dates from 1985 . DeSanto et al, in their study of 238 cases with laryngeal cysts, arranged them in size and origin, but described mostly saccular and ductal cysts, not cartilaginous cysts .…”

Section: Discussionmentioning

confidence: 99%

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Thyroid Cartilage Cysts, A Rare Entity Causing Dysphonia

Verdam¹,

Mahieu²

2020

The Laryngoscope

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Five cases are presented with a strained voice quality due to a unique underlying cause: thyroid cartilage cysts. Laryngoscopy and radiological images show antero-medial displacement of both vestibular and vocal fold(s). Swelling in the ala of the thyroid cartilage results in a pear-shaped lumen. These cysts were marsupialized with CO 2 laser, fluid emerged, and histological biopsies confirmed cartilaginous cysts. Postoperatively, all cases report largely reduced or completely resolved vocal complaints, with a consistent follow-up of 2 years. Together with previous publications, an overview of 17 cases is presented, to enhance awareness that thyroid cartilage cysts can cause a strained voice quality.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Thyroid Cartilage Cysts, A Rare Entity Causing Dysphonia

Verdam¹,

Mahieu²

2020

The Laryngoscope

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Cyst-like change in the thyroid cartilage: A developmental variant in children

Chetcuti

Avula

2016

Ultrasound

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Neck sonography is frequently encountered on ultrasound lists in the paediatric patient population. Anecdotally, one of the most frequent clinical indications is the investigation of a neck lump. While performing an ultrasound of the neck, structures other than those routinely assessed, such as the thyroid cartilage and mandibular cortex also come into view. Occasionally, pathology in these structures is also encountered, albeit less frequently. The purpose of this case report and review is to illustrate the ultrasound, computed tomography and magnetic resonance imaging appearances of cyst-like changes in the thyroid cartilage that are encountered in children, particularly in early adolescence. KeywordsThyroid cartilage, cysts, ultrasound, developmental variant, paediatric Case reportA 16-year-old male patient presented to the radiology department for an ultrasound of his neck with a history of intermittent swelling in the left submandibular area. On ultrasound, the palpable swelling corresponded to a prominent submandibular lymph node that was of normal architecture. The lymph node was not significant by imaging size criteria and demonstrated normal vascularity on colour Doppler studies. A few smaller lymph nodes were also noted bilaterally. Normal appearances of the thyroid gland and of the parotid and submandibular glands bilaterally were demonstrated. Incidentally, two well-defined, homogenously hypoechoic, avascular structures were identified in the thyroid cartilage bilaterally (Figure 1(a) and (b)). At the time of the scan, the impression of benign, cystic cartilaginous lesions was made. However, a magnetic resonance imaging (MRI) of the neck was advised for further assessment and to exclude any sinister pathology.Corresponding to the two focal areas of abnormality identified on ultrasound, two small well-defined areas of signal abnormality that were of high signal on the fatsuppressed sequence (Figure 2(a)) and of intermediate signal on the T1-weighted sequence (Figure 2(b)) were seen. Apart from a few lymph nodes that were accepted to be within normal limits, no other abnormality was present.On the follow-up ultrasound scan acquired two months later, the hypoechoic thyroid cartilage lesions appeared stable in size and sonographic characteristics. No new focal cartilaginous lesions were identified. DiscussionFocal lesions of the thyroid cartilage are rare. Cases of chondromas, chondrosarcomas, degenerative cysts of the thyroid cartilage, possible post-traumatic cysts and another that may have been associated with postradiotherapy cystic degeneration have been described in

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A developmental variant of the thyroid cartilage

Jamali

Danse

2019

J Ultrason

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Neck sonography is commonly used as the first imaging method for acute and chronic neck pain or swelling. Adequate knowledge of normal sonography findings is needed for optimal patient work-up. Although thyroid cartilage is rarely sonographically analyzed, there are anatomical variants detectable with sonography. These variants should not be confused with pathologies. Our case report is focused on cyst-like lesions of the thyroid cartilage, which are uncommon incidental findings when imaging is performed. The aim of this case report is to illustrate the ultrasound and magnetic resonance imaging appearances of these cyst-like formations. These formations are benign, have no clinical significance and do not require any additional assessment.

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Degenerative Thyroid Cartilage Cysts as a Cause of Hoarseness

Cited by 3 publications

References 4 publications

Thyroid Cartilage Cysts, A Rare Entity Causing Dysphonia

Thyroid Cartilage Cysts, A Rare Entity Causing Dysphonia

Cyst-like change in the thyroid cartilage: A developmental variant in children

A developmental variant of the thyroid cartilage

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