Lateral laryngeal saccular cysts of the larynx that herniate through t
he thyrohyoid membrane are quite rare. We present a case of a huge mid
cervical cyst which occurred as a result of extreme neglect of a later
al saccular cyst. This case provided us with a unique opportunity to c
haracterize the late stages of this pathology. The differential diagno
sis of cervical cysts and treatment approaches are discussed.