Marsupialization linked to lower recurrence in pediatric vallecular cysts

A systematic review and meta-analysis pooled data from 54 studies encompassing 362 children with congenital vallecular cysts. The authors report that stridor was the predominant presenting symptom (65.2%), flexible fiberoptic laryngoscopy was the main diagnostic tool, and marsupialization was associated with significantly lower predicted recurrence than non-marsupialization techniques (2.78% vs 10.13%, P=.008), though repeat excision rates did not differ significantly between approaches.

Most relevant for: Infants presenting with stridor or feeding difficulty who are evaluated and treated for congenital vallecular cysts.

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