# Examination of Endoscopic Marsupialization of Vocal Fold Cyst Under Topical Anesthesia

## TL;DR

This study shows that a minimally invasive surgery for vocal fold cysts under local anesthesia is effective, has low recurrence, and offers faster recovery.

## Contribution

The study demonstrates the efficacy of endoscopic marsupialization under topical anesthesia as a patient-friendly alternative for vocal fold cysts.

## Key findings

- The recurrence rate of vocal fold cysts after the procedure was 4.7%.
- Significant improvements in voice-related outcomes were observed within weeks and maintained at six months.
- The procedure is cost-effective and avoids general anesthesia.

## Abstract

Endoscopic marsupialization of vocal fold cysts under topical anesthesia was evaluated in 107 patients to determine its efficacy and outcomes. The recurrence rate was 4.7%, with all recurrent cases successfully treated with reoperation. Significant improvements in Voice Handicap Index (VHI), Maximum Phonation Time (MPT), and Pitch Range were observed at two to four weeks postoperatively and maintained at six months. This minimally invasive procedure, which avoids general anesthesia, demonstrated comparable recurrence rates to traditional methods while offering superior cost-effectiveness and faster recovery. These findings suggest that endoscopic marsupialization is an effective and patient-friendly alternative for managing vocal fold cysts.