TITLE:
Thornwaldt Cyst: Case Report
AUTHORS:
Kiran L. Kulsange, Smita Nagle, Mohan Jagade, Pallavi Gupta, Madhavi Pandhare, Kartik Parelkar, Arpita Singhal, Devkumar Rangaraja, Reshma Hanwate, Nataraj Rajanala Venkata, Bandu Nagrale, Ankur Walli, Karthik Rao, Sudam Gaware
KEYWORDS:
Thornwaldt Cyst, Diode Laser, Endosnasal and Transoral Approach
JOURNAL NAME:
International Journal of Otolaryngology and Head & Neck Surgery,
Vol.5 No.5,
September
30,
2016
ABSTRACT: Thornwaldt cyst is benign, mucosal congenital cyst which is located in upper nasopharynx.
It developed in nasopharyngeal bursa if opening of bursa is occluded due to
infection or inflammation. It is rare congenital cyst present in nasopharyngeal bursa.
Its incidence is 3% in adults [1]. The usual age of presentation is 2nd and 3rd decade
[1]. It is usually asymptomatic and incidental finding on MRI but it can present as
nasal obstruction, post nasal drip, halitosis, occipital headache, foreign body sensation
in throat [1] [2]. Here we are presenting a case report of 23 years old male presented
with foreign body sensation in throat since 5 months. On oral and nasal endoscopic
examination cystic mass in nasopharynx seen, bulging in oropharynx. MRI
shows cystic mass arising from left side of nasopharynx popping up in oropharynx.
Cyst then excised with diode laser with both endonasal and transoral approach with
zero degree rigid endoscope. Histopathology confirmed the cyst as thornwaldt cyst.