Neonatal stridor and laryngeal cyst: Which comes first?

Abstract

Neonatal stridor is a rare condition usually caused by laryngomalacia. Congenital laryngeal cyst represents an uncommon cause of stridor in the neonatal population and may be misinterpreted as laryngomalacia, leading to serious morbidity and mortality if diagnosis and treatment are delayed. Herein we report the case of a full-term infant with stridor, feeding problems and failure to thrive. Initially, direct laryngoscopy diagnosed only laryngomalacia. As stridor worsened, however, and respiratory distress appeared, repeat laryngoscopy showed vallecular laryngeal cyst, visible macroscopically. The patient was successfully treated with endoscopic marsupialization. There was no evidence of recurrence at follow up after 3 months. This case highlights the importance of laryngoscopic assessment for suspected laryngeal abnormalities in infants with stridor. If symptoms worsen, endoscopy should be repeated, because congenital laryngeal cysts may not be immediately visible macroscopically.

Use of botulinum toxin in Frey's syndrome

“…We present the case of a 42‐year‐old woman operated 20 years ago of bilateral parotidectomy for S. of Mikulicz. Her past medical history is pertinent for endoscopic sinus surgery for chronic rhinosinusitis, vocal cord surgery for a benign cyst, and benign paroxysmal positional vertigo . She develops the signs of FS a few months before arriving in our unit, with reddening and sweating of the facial cutaway during the stimuli that produce salivation.…”

Vocal cord surgery and pharmacological treatment of a patient with HPV and recurrent respiratory papillomatosis

“…Treatment must be aimed at combating viral infection rather than its epiphenomenon . For these reasons, adjuvant therapy with cidofovir is essential, and a non-aggressive surgical technique is useful to prevent the formation of synechias, granulomas and permanent alterations of the voice 28–33…”

Vallecular Cyst in a 1 Month Old Infant

“…However Rodriguez et al suggested complete remowal of the cyst to prevent relapse [10]. Marsupialization may not resolve all the symptoms if laryngomalacia is associated [11]. These cysts have been reported to have high recurrence rates following fine needle aspiration [12].…”