To report a rare benign condition of larynx in a very rare subsite. To emphasize on the role of coblator in the treatment of laryngeal cysts and to highlight the fact that arytenoid cyst should be considered in the differential diagnosis of dysphagia and hoarseness.

A 76-year-old adult male, Resident of Trichy, Tamil Nadu, Presented with Discomfort in throat—2 years, Change of voice—2 months and Dysphagia—2 months. Indirect Laryngoscopy and Flexible Laryngoscopy revealed a mass in the right arytenoid which was pedunculated and filling the supraglottis. The airway was however adequate. Contrast Enhanced CT scan of the neck revealed a cystic soft tissue mass arising from Right arytenoids extending into supraglottis. A provisional diagnosis of Arytenoid cyst was made. The patient underwent Direct Laryngoscopy and coblator assisted excision of the cyst under General Anesthesia.

This case report highlights the fact that an arytenoid cyst, although rare, must be considered in the differential diagnosis of any case presenting with dysphagia and/or hoarseness.

It also explains the role of coblation in the management of such lesions.

Gnanatilakan S, Prasad V, Jeyalakshmi R. A Rare Case of Arytenoid Cyst presenting as Dysphagia. Int J Phonosurg Laryngol 2014;4(2):80-82.