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Signs and symptoms of vocal fold cysts may remain stable or increase over time. [1] In rare cases it is also possible for symptoms to improve if the cyst ruptures spontaneously. [1] [5] Symptoms affecting quality of voice tend to worsen after speaking for long periods of time, or when speaking with increased volume. [1]
Laryngeal cysts are cysts involving the larynx or more frequently supraglottic locations, such as epiglottis and vallecula. [1] Usually they do not extend to the thyroid cartilage. [ 2 ] They may be present congenitally [ 3 ] or may develop eventually due to degenerative cause. [ 4 ]
Other common symptoms include difficulty producing vocal pitches in the higher range, [1] [4] [5] increased phonatory effort, [1] and vocal fatigue. [ 1 ] [ 5 ] There may be a sensation of soreness or pain in the neck, lateral to the larynx , [ 1 ] [ 4 ] which generally occurs because of the increased effort needed to produce the voice.
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Nasopharyngeal cyst refers to cystic swelling arising from midline and lateral wall of the nasopharynx. The commonest cyst arising from lateral wall is the nasopharyngeal branchial cyst, whereas the mucus retention cysts are the commonest to arise from the midline. [1] Sometimes nasopharyngeal cyst may directly refer to Tornwaldt cyst. [2]
The symptoms are occipital headache, cough, middle ear effusion, cervical myalgia, and halitosis, i.e. bad breath. When there is an enlargement of the cyst, it causes symptoms like nasal obstruction, post-nasal discharge with foul-smelling odour, blockage of the Eustachian tube causing otalgia and secretory otitis media, retro-orbital pain.
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The cyst can also become infected and form an abscess, or a painful, puss-filled pocket. Once branchial cysts begin growing, doctors will advise immediate removal to prevent further infection.