Life-Threatening Vallecular Cyst in a 3-month-old Infant: Case Report and Literature Review

Ahrens, Birgit; Lammert, I.; Schmitt, Markus; Wahn, Ulrich; Paul, K.; Niggemann, B.

doi:10.1177/000992280404300312

Cited by 30 publications

(22 citation statements)

References 8 publications

(16 reference statements)

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“…It provides a good distinction between solid and cystic masses, as well as confirmation of a normal thyroid gland. 18,22 Ultrasonography was used in only eight of our reviewed cases. We propose that US can provide a useful screening method for congenital stridor, especially for paediatricians who have no experience with flexible fibroscopy.…”

Section: Discussionmentioning

confidence: 99%

Congenital vallecular cyst in an infant: case report and review of 52 recent cases

et al. 2011

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Magnetic resonance imaging presents various difficulties in infants, but has the best diagnostic effectiveness. We recommend the use of magnetic resonance imaging, flexible fibroscopy and ultrasonography to enable extensive examination of suspected vallecular cysts in infants. Marsupialisation has a recurrence rate of only one in 39 cases, and its safety and effectiveness are well balanced. Thus, prompt marsupialisation of vallecular cyst is the recommended surgical procedure.

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Section: Discussionmentioning

confidence: 99%

Congenital vallecular cyst in an infant: case report and review of 52 recent cases

et al. 2011

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“…Two major theories to explain the pathogenesis of vallecular cyst are that it is a consequence of either ductal obstruction of mucus glands or an embryological malformation [10]. Histologically, the cyst contains respiratory epithelium with mucous glands, with an external lining of squamous epithelium [11]. …”

Section: Discussionmentioning

confidence: 99%

Vallecular Cyst in Neonates: Case Series—A Clinicosurgical Insight

Gogia

Agarwal

2014

Case Reports in Otolaryngology

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The objective of the case series is to understand the clinical and surgical aspects of new minimally invasive technique of coblation in cases of vallecular cysts in neonates. Method of Study. Four neonates underwent surgery for vallecular cyst by using Arthrocare ENT coblator system. Results Obtained. All the four cases presented in stridor and difficult intubation was also a concern which necessitated a swift, high precision instrument with almost immediate results. Coblation excision includes direct contact with vallecular cyst, improved targeting of the cyst, and preservation of normal tissue. All the four cases had an uneventful postoperative period and smooth recovery and had an early discharge from the hospital. Conclusions. Early diagnosis and intervention hold the key for an early recovery and for minimizing nutritional disturbances secondary to poor feeding in cases of neonatal vallecular cysts.

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“…However, finger palpation of the base of the tongue must be performed with great care and should be done in a controlled environment for emergency airway management. The palpation may sometimes cause rupture of the cyst [1–3]. In a young infant with respiratory stridor and dysphagia, which rapidly resolve after airway manipulations, spontaneous rupture of a tongue base cyst should be highly suspected and vigilant followup is necessary in case of recurrence [1].…”

Section: Discussionmentioning

confidence: 99%

“…An approximate annual incidence of 1.82 per 100000 live births in an oriental population was reported [3]. A tongue base cyst may cause stridor or respiratory distress or be totally asymptomatic.…”

Section: Introductionmentioning

confidence: 99%

Congenital Tongue Base Cyst Presenting with Laryngeal Stridor in Youth: A Case Report

Zaki

Ouattassi

Alami

2012

Case Reports in Otolaryngology

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Introduction. Tongue base cyst is an uncommon but potentially dangerous cause of stridor in neonates and infants. Case Presentation. We report a case of a 2-month-old Arabic male infant with a congenital tongue base cyst revealed by inspiratory stridor and recurrent respiratory distress. Diagnosis of cyst was suspected at endoscopy and confirmed by MRI imaging. The cyst was marsupialized with CO2 laser. One year later, the child remains asymptomatic without recurrence of the mass. Conclusion. Tongue base cysts should be considered in differential diagnosis in new borns with stridor, respiratory difficulties, or swallowing problems. Definitive therapy requires large marsupialization under general anesthesia.

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Life-Threatening Vallecular Cyst in a 3-month-old Infant: Case Report and Literature Review

Cited by 30 publications

References 8 publications

Congenital vallecular cyst in an infant: case report and review of 52 recent cases

Congenital vallecular cyst in an infant: case report and review of 52 recent cases

Vallecular Cyst in Neonates: Case Series—A Clinicosurgical Insight

Congenital Tongue Base Cyst Presenting with Laryngeal Stridor in Youth: A Case Report

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