Subepithelial cysts (SECs), sulci, and mucosal bridges are often found in association with one another, resulting in dysphonia due to disturbed vibratory characteristics of the vocal folds along with an incomplete glottic closure in most instances.1 Histologically, cysts may be epidermoid or mucous retention and both are challenging to tackle, when other lesions such as mucosal bridges and sulci are coexistent. Epidermoid cysts may occasionally be open to the airway, referred to then as open cysts.2 The infrequent diagnosis of open cysts has consequently resulted in a few articles discussing the management of this entity. In this article, we have discussed four cases of open cysts of the vocal fold, which we diagnosed over the last 3 years (2015–2017) with a discussion of their management along with a review of the literature. All four open cysts were situated on the left vocal fold, and two cases had coexistent lesions, in the form of a mucosal bridge or a sulcus.
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