Treatment of vallecular cysts in infants with and without coexisting laryngomalacia using endoscopic laser marsupialization: Fifteen-year experience at a single-center

Tsai, Yao-Te; Lee, Li‐Ang; Fang, Tuan‐Jen; Li, Hsueh‐Yu

doi:10.1016/j.ijporl.2012.12.002

Cited by 29 publications

(32 citation statements)

References 20 publications

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“…Laryngomalacia is the most common congenital anomaly of the larynx and the principal cause of stridor in children under 6 months. Congenital laryngeal cyst is a rare cause of airway obstruction in the neonatal population, although the majority of infants with laryngeal cyst have been reported to have concurrent laryngomalacia …”

Section: Discussionmentioning

confidence: 99%

“…Congenital laryngeal cysts are categorized into saccular or vallecular, with vallecular cysts accounting for 10.5% of all congenital laryngeal cysts . Classification systems for laryngeal cysts have been previously described by DeSanto et al ., who subclassified vallecular cysts into ductal cysts, saccular cysts, and thyroid cartilage foraminal cysts.…”

Section: Discussionmentioning

confidence: 99%

“…The most common cause of stridor in infants, however, is laryngomalacia. Because of the similarities in symptoms, congenital laryngeal cyst is often misdiagnosed as laryngomalacia, although they frequently coexist . Nevertheless, evaluation of the airway anatomy and differential diagnosis from other causes of stridor are important to prevent mortality and morbidity related to laryngeal cysts, given that, in the case of laryngomalacia, there is a natural resolution of the problem during the first 1–2 years of life, while for laryngeal cysts surgical treatment is needed.…”

mentioning

confidence: 99%

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Neonatal stridor and laryngeal cyst: Which comes first?

Marseglia

D’Angelo

Impellizzeri

et al. 2017

Pediatrics International

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Neonatal stridor and laryngeal cyst: Which comes first?

Marseglia

D’Angelo

Impellizzeri

et al. 2017

Pediatrics International

View full text Add to dashboard Cite

show abstract

“…Suzuki J y cols en una revisión de 39 pacientes reportan 2,5% de recurrencia con la marsupialización endoscópica 4 . En otra revisión de 33 casos, Hsieh LC y cols reporta 12% de recurrencia con marsupialización con láser CO 2 y Tsai YT y cols, en 28 pacientes no reporta recurrencias con similar técnica [22][23] . Chen EY y cols y Prowse S y cols, en series pequeñas de 7 y 6 casos, no reportan recurrencias empleando excisión completa y marsupialización endoscópica, respectivamente [23][24] .…”

Section: Discussionunclassified

“…En otra revisión de 33 casos, Hsieh LC y cols reporta 12% de recurrencia con marsupialización con láser CO 2 y Tsai YT y cols, en 28 pacientes no reporta recurrencias con similar técnica [22][23] . Chen EY y cols y Prowse S y cols, en series pequeñas de 7 y 6 casos, no reportan recurrencias empleando excisión completa y marsupialización endoscópica, respectivamente [23][24] . Gonik N y Smith LP reportan 3 casos de tratamiento con ablación por radiofrecuencia sin recurrencia 25 .…”

Section: Discussionunclassified