To emphasize that epiglottic cyst should be considered in the differential diagnosis of all adults presenting with stridor.

A 55-year-old male patient presented with stridor of 2 days duration. He also had complaints of gradually progressive difficulty in swallowing for solids and had muffled voice for the past 3 months. Oropharyngeal examination revealed a large cystic mass behind the base of tongue. An indirect laryngoscopy and 70° telescopic laryngoscopy showed a large cystic mass filling both vallecular regions obscuring rest of the larynx. He underwent tracheostomy for airway distress followed by excision of the cyst.

This case highlights the possibility of a rare presentation of epiglottic cyst in an adult presenting with stridor requiring an early definitive management.

Chandrakala S, Bhardwaj NS, Mohammadi K, Menon L. Stridor in Epiglottic Cyst: A Rare Presentation. Int J Head Neck Surg 2013;4(2):110-111.