{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T18:13:47Z","timestamp":1791828827022,"version":"4.3.4"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T00:00:00Z","timestamp":1204329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To assess the characteristics of adult vallecular cyst.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTINGS<\/jats:title><jats:p>A retrospective chart review from a university affiliated hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>SUBJECTS AND METHODS<\/jats:title><jats:p>Clinical manifestations and airway management of 38 consecutive adult patients with vallecular cyst admitted between 1992 and 2004 were studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Two distinct groups were identified: infected (n = 24) and noninfected (n = 14). Twenty\u2010two (91.7%) patients of the former group had acute epiglottitis with an abrupt onset culminating in abscess formation in 19 (79.2%) and airway compromise in 9 (37.5%) compared with none in the noninfected group (P = 0.006). In 4 (18.2%) of 22 patients, the origin of the infected vallecular cyst was evident only after symptoms subsided. Three patients had recurrent acute epiglottitis. The noninfected group had a relatively prolonged mild clinical course.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Two types of vallecular cysts were characterized. Abscess formation was the hallmark of adult infected vallecular cyst.<\/jats:p><\/jats:sec><jats:sec><jats:title>SIGNIFICANCE<\/jats:title><jats:p>To improve patient care, endoscopic follow\u2010up is advocated. In patients with recurrent episodes of acute epiglottitis, imaging is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2007.12.008","type":"journal-article","created":{"date-parts":[[2008,3,2]],"date-time":"2008-03-02T07:26:29Z","timestamp":1204442789000},"page":"321-327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Adult vallecular cyst: Thirteen\u2010year experience"],"prefix":"10.1002","volume":"138","author":[{"given":"Gilead","family":"Berger","sequence":"first","affiliation":[{"name":"ENT Histopathologic Research Laboratory Meir Medical Center Kfar Saba Israel"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Meir Medical Center Kfar Saba Israel"},{"name":"Sackler Faculty of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eran","family":"Averbuch","sequence":"additional","affiliation":[{"name":"Department of 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