{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T09:36:12Z","timestamp":1772271372072,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 50-year-old gentleman presented to the emergency department with a 24\u2005h history of stridor, dysphonia, dysphagia and vomiting. On examination, the patient had fever and tachycardic. There was no palpable cervical lymphadenopathy. Flexible nasendoscopy and lateral neck x-ray revealed soft tissue swelling around the epiglottis. The swelling subsided with conservative management of intravenous antibiotics and steroids, only to later reveal a vallecular cyst, which was confirmed on microlaryngoscopy. The cyst was subsequently deroofed and sent for biopsy. Histological examination revealed an infected, benign vallecular cyst consisting of a squamous epithelium with underlying lymphoid tissue. In adults, vallecular cysts are usually asymptomatic, but can become infected and initiate acute supraglottitis, potentially leading to life-threatening airway obstruction. The case described here, although rare, highlights how early definitive diagnosis and management of vallecular cysts can lead to significantly improved patient outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2013-009180","type":"journal-article","created":{"date-parts":[[2013,4,22]],"date-time":"2013-04-22T10:30:28Z","timestamp":1366626628000},"page":"bcr2013009180","source":"Crossref","is-referenced-by-count":9,"title":["An unusual presentation of an infected vallecular cyst presenting as supraglottitis"],"prefix":"10.1136","volume":"2013","author":[{"given":"Vijay","family":"Pattni","sequence":"first","affiliation":[{"name":"Bristol Medical School, University of Bristol, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham","family":"Porter","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat Surgery, University Hospitals Bristol, Bristol, 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