Acquired subglottic cysts in children: A rare and challenging clinical entity. A systematic review

Soloperto, Davide; Spinnato, Francesca; Gioia, Stefano Di; Maro, Flavia Di; Pinter, Patrick; Bisceglia, Alfonso; Marchioni, Daniele

doi:10.1016/j.ijporl.2020.110523

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…Booth et al [ 12 ] reported the advantages of the STRIVE Hi anesthesia technique in adult patients who underwent laryngeal microsurgery. Despite the high recurrence rate of SGCs, which has been reported to range from 0% to 69%, recurrence was not observed in any of the patients in the present study because optimal visualization of the surgical field was obtained using the STRIVE Hi technique, resulting in complete marsupialization of the cyst [ 9 ]. In addition, as sufficient oxygenation was achieved during surgery with the use of the STRIVE Hi technique, no patient required intubation during surgery.…”

Section: Discussionmentioning

confidence: 95%

“…[12] Despite the high recurrence rate of SGC, which ranges from 0% to 69%, recurrence was not observed in any of the patients in the present study because optimal visualization of the surgical field was obtained using the STRIVE Hi technique, which resulted in complete marsupialization of the cyst. [9] In addition, as sufficient oxygenation was achieved during surgery with the use of the STRIVE Hi technique, no patient required intubation during surgery. This finding is consistent with that of a previous study, which reported that high-flow oxygen could prolong apnea time and avoid repeated intubation during surgery.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

“…Marsupialization is the treatment of choice for several cysts and is accomplished by a variety of methods, including carbon dioxide (CO2) and thulium lasers, cold dissection, and laryngeal microdebrider. [4][5][6][7][8] The recurrence rate after treatment has been reported to vary from 0% to 69%, [9] and insufficient marsupialization of the cyst is the primary cause of recurrence. [10] Because SGCs occur in the narrow subglottic space, it may be difficult to visualize the surgical A c c e p t e d A r t i c l e field while performing endotracheal intubation.…”

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confidence: 99%

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The Clinical Features and Risk Factors of Subglottic Cysts in Children: A Clinical Experience Using the Spontaneous Respiration Technique

Han¹,

Kim²,

Ji³

et al. 2023

Clin Exp Otorhinolaryngol

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Objective: Subglottic cyst (SGC) is one of the rare causes of respiratory distress caused by upper airway obstruction in infants and young children. Risk factors other than prematurity with a history of endotracheal intubation have not yet been well elucidated. Therefore, we aimed to describe the clinical features and analyze the risk factors of SGC.Methods: A retrospective review of medical records of pediatric patients who underwent marsupialization for SGCs between January 2017 and March 2022 was undertaken. These records were then compared with those of controls with a history of neonatal intubation with a case to control ratio of 1:3. Results: Eleven patients (8 males and 3 females) diagnosed with SGCs and 33 control patients (26 males and 7 females) were included. All patients had a history of premature birth and neonatal intubation. Symptoms of SGC appeared at a mean age of 8.2 months (1–14 months) after extubation. The mean duration of intubation was 21.5 days (2–90 days), and the intubation period was longer in patients with SGC than in controls (21.5

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Section: Discussionmentioning

confidence: 95%

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

mentioning

confidence: 99%

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The Clinical Features and Risk Factors of Subglottic Cysts in Children: A Clinical Experience Using the Spontaneous Respiration Technique

Han¹,

Kim²,

Ji³

et al. 2023

Clin Exp Otorhinolaryngol

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“…The recurrence of SGCs is frequent. In many cases, a complementary endoscopic procedure is needed; therefore, prolonged follow-up is mandatory [9]. In conclusion, early diagnosis and treatment can positively in uence the prognosis of these patients, avoiding extensive and aggressive treatments that could predispose them to the onset of new cysts.…”

Section: Discussion Conclusionmentioning

confidence: 99%

A rare cause of respiratory distress in preterm infants: a case report of acquired subglottic cysts

Barchi,

Russo,

Donvito

et al. 2024

Preprint

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Background The SGCs are a rare cause of respiratory distress in infants. Typical risk factors include male gender, extreme prematurity, gastro-oesophageal reflux and mechanic intubation, the latter being associated with mucosal damage and blockage of the subglottic cysts’ ducts. We described a case of acquired subglottic cysts in a premature infants presented with respiratory distress Case presentation: A premature male infant was born at 25 + 2 weeks of gestation age with a history of monochorionic twin diamniotic pregnancy with twin-to-twin transfusion syndrome. During hospitalization invasive mechanical ventilation was necessary for a total of 18 days; the patient was discharged at 40 w + 1 days in good condition. After 3 weeks he presented to our department with mixed stridor and worsening of respiratory dynamics. A laryngotracheoscopy evaluation was performed. The exam showed the presence of multiple glottic-subglottic cysts (SGCs) causing a complete obstruction of the airway. The histopathology confirmed the benign nature of the lesions. Because of the significant reduction of the airway’s patency, he was submitted to tracheotomy and thereafter to cysts’ removal using cold steel microinstruments. A better airway patency was restored although a slight glottic edema persisted. Conclusion In conclusion, SGCs should be considered in preterm infants previously intubated with respiratory distress, which cannot be explained by the most common causes. Early diagnosis and treatment are fundamental to reducing the morbidity and mortality associated with this disease.

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Subglottic and Tracheal Stenosis

Guilcher

Sandu

2022

Textbook of Surgery of Larynx and Trachea

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Acquired subglottic cysts in children: A rare and challenging clinical entity. A systematic review

Cited by 6 publications

References 30 publications

The Clinical Features and Risk Factors of Subglottic Cysts in Children: A Clinical Experience Using the Spontaneous Respiration Technique

The Clinical Features and Risk Factors of Subglottic Cysts in Children: A Clinical Experience Using the Spontaneous Respiration Technique

A rare cause of respiratory distress in preterm infants: a case report of acquired subglottic cysts

Subglottic and Tracheal Stenosis

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