Acute Upper-Airway Obstruction by a Lingual Thyroglossal Duct Cyst and Implications for Advanced Airway Management

Zimmerman, Kanecia O.; Hupp, Susan R.; Bourguet-Vincent, Ali; Bressler, Erin Ashley; Raynor, Eileen M.; Turner, David A.; Rehder, Kyle J

doi:10.4187/respcare.02513

Cited by 10 publications

(6 citation statements)

References 34 publications

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“…However, these symptoms may sometimes be subtle and nonspecific, manifesting as dysphonia or mild feeding difficulties. 12 Additionally, approximately 80%–90% of patients with Hirschsprung's disease typically develop constipation, abdominal distention, vomiting, and feeding difficulties and are diagnosed during the first few days of life. 1 In the present case, the infant had only gastrointestinal symptoms before the first surgery for Hirschsprung's disease.…”

Section: Discussionmentioning

confidence: 99%

“… 13 Therefore, if infants have persistent stridor, evaluation by a pediatric otolaryngologist and cross‐sectional imaging with either CT or magnetic resonance imaging and cervical ultrasonography are indicated. 12 If the test results in a suspected laryngeal cyst, an endoscopic examination should be performed again. In the present case, during the first surgery, the anesthesiologists attempted laryngoscopies several times but did not notice the cyst.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unexpected difficult airway due to an undiagnosed congenital lingual thyroglossal duct cyst in a neonate without stridor: A case report

Kohashi

Yamamoto

Igarashi

et al. 2022

Clinical Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Unexpected difficult airway due to an undiagnosed congenital lingual thyroglossal duct cyst in a neonate without stridor: A case report

Kohashi

Yamamoto

Igarashi

et al. 2022

Clinical Case Reports

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“…Los síntomas característicos del quiste tirogloso lingual varían desde síntomas respiratorios leves y disfagia hasta estridor persistente y distrés respiratorio secundario (3) a una obstrucción de la vía aérea, que puede poner en peligro la vida del paciente, como se demostró en nuestros pacientes (2,(5)(6)(7). Por esta razón, ante un lactante menor con dichos síntomas y luego de su estabilización y aseguramiento de la vía aérea según se requiera, proponemos una primera aproximación diagnóstica con una laringoscopia flexible, debido a su amplia disponibilidad y bajo costo.…”

Section: Discussionunclassified

Estudio de caso de un quiste tirogloso lingual: una urgencia en la vía aérea del lactante menor

Tamayo

Jaramillo

Gallego

et al. 2020

Acta otorrinolaringol cir cabeza cuello

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El quiste tirogloso es una de las principales causas de tumores congénitos en cuello, siendo la lengua un sitio infrecuente de presentación, no obstante, es relevante conocer esta ubicación, principalmente en lactantes menores, ya que, debido a sus características anatómicas, presentan como síntoma principal disnea, con diferentes grados de severidad que puede llegar a comprometer la vía aérea y la vida del paciente. Se presentan dos casos de lactantes que ingresan por estridor y signos de falla ventilatoria, se les realizó nasofibrolaringosocopia flexible evidenciando lesión de aspecto quístico en la base de la lengua, posteriormente se complementó estudio imagenológico, con primera opción diagnóstica quiste tirogloso lingual; se les realizó manejo quirúrgico con microlaringoscopia de suspensión más marsupialización endoscópica con corte frío y radiofrecuencia con adecuada evolución postoperatoria. Basados en los casos previos proponemos un algoritmo de manejo haciendo énfasis en el uso de imágenes diagnósticos y la técnica quirúrgica.

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“…These infections are treated with antibiotics prior to surgery; however, if an abscess is formed, aspiration or drainage is indicated [ 4 ]. Rare but serious complications include airway obstruction from a rapidly enlarging cyst, but these are most commonly lingual TGDC [ 5 ]. The age of presentation of TGDC and prevalence of infection is highly variable.…”

Section: Introductionmentioning

confidence: 99%

Infected Thyroglossal Duct Cyst in a Neonate: A Report of a Rare Case

2022

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Patient: Female, 3-week-old Final Diagnosis: Thyroglossal duct cyst Symptoms: Infection • neck mass • respiratory distress Medication: — Clinical Procedure: Incision and drainage • Sistrunk’s procedure Specialty: Otolaryngology • Pediatrics and Neonatology Objective: Congenital defects/diseases Background: Thyroglossal duct cysts are the most common congenital cervical anomalies, often presenting as midline neck cysts. The mean age of presentation of pediatric thyroglossal duct cysts varies between 5 and 9 years old, with rare cases younger than 1 year old. This case report details a rare case of an infected thyroglossal duct cyst presenting during the neonatal period as an upper airway obstruction. Case Report: A 3-week-old neonate born full-term with no complications during pregnancy or labor presented with a 5-day history of worsening nasal congestion and upper airway obstruction after an upper respiratory infection. Physical examination revealed a large midline neck mass measuring 3.1×4.2×3.2 cm abutting the hyoid with internal echogenicity consistent with a thyroglossal duct cyst, causing posterior tongue compression of the airway and airway distress. The patient was emergently taken to the operating room for incision and drainage, where she underwent a difficult intubation due to superior-posterior tongue displacement and global supraglottic edema. She was discharged on postoperative day 5 on a course of Augmentin after cultures grew methicillin-sensitive Staphylococcus aureus . The patient had no further complications, with successful excision using a Sistrunk procedure 6 months later. Conclusions: Pediatric thyroglossal duct cysts most often present as an asymptomatic midline neck mass, with rare sequel-ae of infection and upper airway obstruction. This case report highlights the pathophysiology and presenting symptomology of thyroglossal duct cysts, explores the rarity of infected thyroglossal duct cysts in neonates, and reviews the current literature on management strategies for these patients.

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Acute Upper-Airway Obstruction by a Lingual Thyroglossal Duct Cyst and Implications for Advanced Airway Management

Cited by 10 publications

References 34 publications

Unexpected difficult airway due to an undiagnosed congenital lingual thyroglossal duct cyst in a neonate without stridor: A case report

Unexpected difficult airway due to an undiagnosed congenital lingual thyroglossal duct cyst in a neonate without stridor: A case report

Estudio de caso de un quiste tirogloso lingual: una urgencia en la vía aérea del lactante menor

Infected Thyroglossal Duct Cyst in a Neonate: A Report of a Rare Case

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