The causes of laryngeal voice disorders are categorized into 2 general groups: congenital or acquired structural abnormalities and neuromuscular functional problems.1 DeSanto et al2 reviewed 20 years of laryngeal cyst cases at the Mayo Clinic, Rochester, Minn. Laryngeal cysts are believed to occur from mucous gland duct obstruction and glandular dilatation.3 Most cases were detected in the sixth decade of life; a laryngeal cyst is a rare finding in a child. Unlike our patient, almost two thirds of the patients described were asymptomatic. The 238 cysts were classified as saccular or ductal, with a rare case that was classified as a thyroid cartilage foraminal cyst. There were 67 cysts located at the epiglottis and all were classified as ductal. These epiglottic cysts were found in the vallecula or on the lingual surface of the epiglottis. Symptoms vary with cyst size, patient age, and airway extension.3 In adults the asymptomatic cysts were identified during routine dental examination or while inducing anesthesia for surgery. Macneil et al4 described a 62-year-old patient with epiglottitis and a previously asymptomatic epiglottic cyst. As children have narrower airways, they usually present with some form of respiratory distress, such as stridor. Conway et al5 describe a 6-week-old girl who exhibited stridor, a hoarse cry, and mild respiratory distress. At surgery she had a 2×2×1.5-cm epiglottic cyst that was removed from the epiglottis, vallecula, and the base of the tongue.