Examination of Endoscopic Marsupialization of Vocal Fold Cyst Under Topical Anesthesia

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.