Behavior Intervention Effective in Most Patients with Vocal Fold Pseudocysts

How are vocal fold pseudocysts treated, and when do they require surgical intervention?

Background: A pseudocyst is a benign phonotraumatic lesion of the membranous vocal fold with a fusiform, translucent, blister-like appearance. Like other benign membranous vocal fold lesions, it causes dysphonia by means of its mass effect. Treatment recommendations range from voice therapy to microsurgical removal to medialization laryngoplasty, but intervention assessment is complicated by nonstandardized nomenclature.

Study design: Retrospective cohort study with longitudinal follow-up via survey of all patients with pseudocysts presenting to an urban university medical center’s laryngology service between Jan. 1, 2010, and March 31, 2012.

Setting: Sean Parker Institute for the Voice, Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York City.

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