Emergency Airway Obstruction in Newborn Due to Congenital Saccular Cyst

Abstract

Laryngeal cyst causing neonatal airway obstruction during labor is a very rare condition [1]. Congenital laryngeal cysts are a rare cause of neonatal airway obstruction. Traditionally, these cysts have been treated surgically by endoscopic excision or marsupialization. However, the cyst often extends beyond the larynx. We describe a case of a newborn that, during delivery, became cyanotic due to airway obstruction and respiratory distress. To the best of our knowledge this is the first report of a saccular cyst obstructing airway during birth prior to intubation. The immediate and late treatments together with a literature review are described.

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“…3,4 Endoscopic marsupialization may be adequate for small cysts, but endoscopic and cervical excisions are preferred for larger cysts, as well as for refractory cysts. 5 According to the literature, cervical excision results in a lower rate of recurrence of saccular cysts. 2,5 However, given the invasive nature of this approach, many authors have contended that open surgical procedures should be reserved for emergencies, large cysts, and recurrent cysts that are refractory to multiple endoscopic procedures.…”

“…5 According to the literature, cervical excision results in a lower rate of recurrence of saccular cysts. 2,5 However, given the invasive nature of this approach, many authors have contended that open surgical procedures should be reserved for emergencies, large cysts, and recurrent cysts that are refractory to multiple endoscopic procedures. [2][3][4] The thyrohyoid approach is the usual approach for open resection.…”