Conservative treatment is generally not recommended for epiglottis cysts. Surgical resection is the normative treatment, and commonly used surgical methods include endolaryngeal and extralaryngeal methods. 1. Endolaryngeal approach: It is suitable for patients with small cysts or those who are confined to the larynx only. The cyst can be removed under direct laryngoscopy or indirect laryngoscopy, and at the same time, the cyst wall at the base of the cyst can be destroyed by laser or electrocautery to minimize recurrence. 2. Extralaryngeal method: it is suitable for larger cysts or recurrent cysts. Lingual meconium pharyngotomy can be used to remove the cyst wall completely. The recurrence rate of cysts is very high after puncture aspiration alone, and it is usually not used. Prompt medical attention is recommended to choose an appropriate treatment plan under the guidance of a doctor.