Evaluation of pediatric subglottic cysts

A rare case of congenital laryngeal cyst and its surgical management

“…7 Initial suspicion of laryngomalacia, which is far more common can be ruled out by performing laryngoscopy in every stridorous child. 8 In our case, the child came with difficulty in breathing since birth which aggravated on crying, was investigated with the help of pediatric bronchoscopy which revealed some unidentified mass just at supraglottis level for which ENT consultation was taken after which CECT-Base of skull to forth thoracic vertebra was performed which showed signs of cystic swelling at supraglottis following which direct laryngoscopy was performed which confirmed the diagnosis of laryngeal cyst. Recommended treatment depends on the extent of the cystic lesion, with the treatment of choice being endoscopic marsupialization for intra-laryngeal cysts and for a cyst with extra-laryngeal extension, an attempt should not be made to excise or marsupialize the cyst endoscopically, which will likely lead to incomplete removal and subsequent recurrence of the cyst.…”

Stridor in Children: Croup or Something More Sinister? A Case of Subglottic Cyst

“…The development of subglottic cyst is not always associated with history of prematurity and previous intubation. Aksoy et al (2012) found in their study that 6 out of 9 children had no history of previous intubation. Direct laryngoscopy is accepted as a gold standard tool to diagnose subglottic cysts (Zawadzka-Glos et al 2009).…”

Subglottische Pathologien

“…Subglottische Zysten können Ursache einer Atemwegsobstruktion bei kürzlich intubierten Kindern (Alter 0,3-3,0 Jahre) sein. Üblicherweise treten sie multipel in der subglottischen Region auf und verursachen Heiserkeit, Stridor und Hustenattacken [15,16]. Die Diagnostik erfolgt mittels flexibler Nasopharyngolaryngoskopie.…”

“…Die Diagnostik erfolgt mittels flexibler Nasopharyngolaryngoskopie. Therapeutisch wird eine endoskopisch gestützte Marsupialisation mit dem Scherchen oder dem CO 2 -Laser empfohlen in Kombination mit einer Dekompression mittels Ballondilatation [15,16].…”