Vocal cord cysts are rare, and typically present with symptoms of dysphonia
in older children and adults. There is often a background of voice abuse.
We present the first recorded and photographed case of an intracordal cyst
presenting in a neonate. The patient presented with symptoms of episodic st
rider, respiratory distress, and feeding difficulties, which resolved rapid
ly after simple incision of the cyst. Theories for the aetiology of intraco
rdal cysts are discussed. The authors believe that this case lends support
to the theory that intracordal cysts are congenital in origin. (C) 2000 Els
evier Science Ireland Ltd. All rights reserved.