Vallecular cyst as a cause of congenital stridor: report of five patients

Breysem, Luc; Goosens, Veerle; Poorten, Vincent Vander; Vanhole, Christine; Proesmans, Marijke; Smet, Maria-Helena

doi:10.1007/s00247-009-1299-1

Cited by 18 publications

(18 citation statements)

References 12 publications

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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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“…Imaging can be helpful in diagnosis of deep vallecular cysts not easily recognized directly on fiberoptic endoscopy. Tibesar and Thompson advocate the MRI as the imaging modality of choice to distinguish between vallecular cyst, thyroglossal duct cyst, dermoid, lingual thyroid, and vascular anomaly [8], while Breysem and colleagues recommend ultrasound as the image study of choice [9]. Although both endoscopy and imaging are helpful, definitive diagnosis is made with pathological evaluation.…”

Section: Discussionmentioning

confidence: 99%

Transoral approach for direct and complete excision of vallecular cysts in children

Chen

Lim

Boss

et al. 2011

International Journal of Pediatric Otorhinolaryngology

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Objective To review the presentation, evaluation, and treatment of children with vallecular cysts and introduce a new technique of transoral excision for this entity. Methods Retrospective case series of children diagnosed with vallecular cyst between 2001 and 2008 at a single tertiary care children’s hospital. Data collected, including age at diagnosis, presenting symptoms, additional diagnoses, diagnostic modality, prior and subsequent surgical therapy, length of hospital stay, length of follow-up, and recurrence were analyzed with descriptive statistics. Results Seven children (mean age 198 days, range 2 days to 2.9 years) were included in this series. Five children presented with respiratory distress and/or swallowing difficulties. Vallecular cyst was diagnosed by initial flexible fiberoptic laryngoscopy (5/7), MRI (1/7), and intubating laryngoscopy (1/7). All children underwent complete cyst excision via transoral surgical approach. Two children underwent additional supraglottoplasty for concomitant laryngomalacia, one of whom underwent tracheotomy for persistent respiratory distress and vocal cord immobility. The average length of hospital stay postoperatively was 9.5 days, and four patients stayed less than 2 days. No patients experienced recurrence of the vallecular cyst at last follow-up (range 4–755 days, mean 233 days). Conclusions Vallecular cysts are rare but should be considered in children with respiratory distress and dysphagia. Awake, flexible fiberoptic laryngoscopy with particular attention to the vallecular region should be performed on any child presenting with these symptoms. Direct, transoral approach for excision of the vallecular cyst is our preferred method of treatment with no recurrences to date.

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“…1 To our knowledge, persistent respiratory stridor due to laryngeal cyst that developed on laxity of larynx at 30 days of life, and was diagnosed on endoscopy at 46 days of life, has not been previously documented. 4 Moreover, we believe that, in addition to laryngomalacia, other laryngeal abnormalities, including cysts, should be considered in infants with stridor, so that they can be quickly identified, and managed promptly and appropriately.…”

Section: Discussionmentioning

confidence: 99%

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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Vallecular cyst as a cause of congenital stridor: report of five patients

Abstract: Although vallecular cysts are very rare, they should be considered in the differential diagnosis of congenital stridor. When the commonest causes have been ruled out, neck US may be diagnostic. The diagnosis can be confirmed with flexible bronchoscopy or further imaging such as CT or MRI.

Cited by 18 publications

References 12 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

Transoral approach for direct and complete excision of vallecular cysts in children

Neonatal stridor and laryngeal cyst: Which comes first?

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