10/09/2026
A vocal cord cyst (or vocal fold cyst) is a benign, fluid-filled, or semi-solid sac that develops inside the tissue of the vocal fold.
It adds stiffness and weight to the vocal fold, it disrupts normal vibrations and prevents the vocal cords from closing smoothly, leading to noticeable voice changes.
Types of Cysts
Mucus Retention Cysts: These are fluid-filled sacs that develop when a tiny mucus-producing gland in the voice box becomes blocked.
Epidermoid (Keratin) Cysts: These are solid, pearl-like sacs filled with keratin (skin protein). They can be present from birth (congenital) or result from vocal trauma.
Common Symptoms
Chronic hoarse voice
Pitch limitations, such as losing the ability to hit high notes or sudden pitch breaks
Vocal fatigue
Breathy voice quality
What Causes Them?
The most frequent cause is phonotrauma, which refers to chronic overuse, misuse, or straining of the voice (common in singers, teachers, and actors). The repetitive slamming of the vocal cords creates structural inflammation.
Treatment Approaches:
Unlike nodules, vocal cord cysts rarely disappear on their own with just rest.
1.Voice Therapy: Often prescribed first to reduce inflammation and correct damaging vocal habits. However, therapy treats the symptoms and behaviors, not the cyst itself.
CO2 laser Microlaryngeal Surgery: The gold standard treatment involves a precise micro-flap surgery. A surgeon makes a microscopic incision to carefully dissect and remove the cyst intact without damaging the surrounding vocal tissue.
2.Post-Operative Rest: Surgery is strictly followed by 3 to 5 days of absolute voice rest (no speaking at all) and subsequent voice therapy to minimize permanent scarring
