A rare entity of symptomatic vallecular cyst in an adult successfully managed with homoeopathy: A case report

Vallecular cysts are rare, benign, mucous retention cysts located in the vallecula—the space between the base of the tongue and the epiglottis. Though often asymptomatic, larger cysts may cause throat discomfort, dysphagia, or voice changes, posing a diagnostic challenge. Conventional management typically involves surgical excision, especially when symptoms interfere with daily life. This case report presents a 34-year-old woman who developed persistent pain in the right tonsillar region following a history of recurrent tonsillitis and recent tonsillectomy. Examination and laryngoscopy confirmed the presence of a right vallecular cyst along with laryngopharyngeal reflux. The patient also reported other associated symptoms and based on a detailed analysis of the totality of symptoms, Lycopodium clavatum was selected in 50 millesimal potency. The patient was followed up over several months, with progressive improvement in both local and systemic symptoms. Repeat laryngoscopy revealed complete disappearance of the cyst, and no recurrence was observed in the subsequent five months. This case highlights the potential role of individualized homoeopathic treatment in managing structurally evident lesions like vallecular cysts. The successful resolution without surgical intervention underscores the importance of constitutional prescribing and long-term follow-up in chronic ENT conditions. Further documentation of such cases can contribute to the evidence base supporting Homoeopathy in otorhinolaryngologic disorders.