Supraglottic laryngeal cysts are benign lesions that usually are easily rec
ognized and simply managed. Among these lesions saccular cysts are uncommon
, usually large, anomalies of the larynx and can cause severe airway obstru
ction and even death. Three patients with a saccular cyst were successfully
treated by endoscopic CO2-laser excision of their lesions. Before microlar
yngoscopy and laser procedure, an urgent tracheostomy was required in 1 of
our cases. Copyright (C) 2000 S. Karger AG, Basel.