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Biphasic Stridor Related to a Congenital Vallecular Cyst

Year 2019, Volume: 72 Issue: 3, 367 - 369, 23.01.2020

Fatih Günay

Abstract

Congenital vallecular cyst (VC) is a rare but potentially fatal pathology in neonates and infants. It usually manifests with symptoms such as stridor, apnea and cyanosis that develop shortly after birth. Stridor is the most common encountered symptom. VC is frequently accompanied by laryngomalacia (LM) and LM is the most common cause of stridor in infants. Diagnosis can be made by flexible laryngoscopy or bronchoscopy. Surgery is the mainstay for VC treatment. Here we present an infant who had respiratory distress, biphasic stridor and cyanosis worsened during feeding and crying, and diagnosed VC. The respiratory symptoms of the patient recovered rapidly after surgical resection.

Keywords

Flexible Bronchoscopy Infant Respiratory Distress Stridor Vallecular Cyst

Ethical Statement

Informed Consent: Informed consent was obtained from patient’s parent Peer-review: Externally peer-reviewed. Authorship Contributions Concept: N.Ç., T.K., Design: N.Ç., F.G., N.E.Ç.İ., Data Collection or Processing: F.G., N.E.Ç.İ., A.A., S.Ö., Analysis or Interpretation: N.Ç., S.B., T.K., F.G., Literature Search: N.Ç., F.G., N.E.Ç.İ., Writing: N.Ç., F.G., T.K., N.E.Ç.İ., S.Ö., A.A., S.B. Conflict of Interest: No conflict of interest was declared by the authors. Financial Disclosure: The authors declared that this study received no financial support.

Supporting Institution

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Project Number

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Thanks

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References

  • 1. Mitchell DB, Irwin BC, Bailey CM, et al. Cysts of the infant larynx. J Laryngol Otol. 1987;101:833-837.
  • 2. Gutierrez JP, Berkowitz RG, Robertson CF. Vallecular cysts in newborns and young infants. Pediatr Pulmonol. 1999;27:282-285.
  • 3. Hsieh WS, Yang PH, Wong KS, et al. Vallecular cyst: an uncommon cause of stridor in newborn infants. Eur J Pediatr. 2000;159:79-81.
  • 4. Tuncer U, Aydogan LB, Soylu L. Vallecular cyst: a cause of failure to thrive in an infant. Int J Pediatr Otorhinolaryngol. 2002;65:133-135.
  • 5. Khashu M, Osiovich H, Kozak F, et al. Congenital epiglottic cyst presenting with severe airway obstruction at birth. J Perinatol. 2006;26:71-72.
  • 6. Lee WS, Tsai CS, Lin CH, et al. Airway obstruction caused by a congenital epiglottic cyst. Int J Pediatr Otorhinolaryngol. 2000;53:229-233.
  • 7. Pak MW, Woo JK, Van Hasselt CA. Congenital laryngeal cysts: current approach to management. J Laryngol Otol. 1996;110:854-856.
  • 8. Prowse S, Knight L. Congenital cysts of the infant larynx. Int J Pediatr Otorhinolaryngol. 2012;76:708-711.
  • 9. Arens C, Glanz H, Kleinhasser O. Clinical and morphological aspects of laryngeal cysts. Eur Arch Otorhinolaryngol. 1997;254:430-436.
  • 10. Tsai YT, Lee LA, Fang TJ, et al. Treatment of vallecular cysts in infants with and without coexisting laryngomalacia using endoscopic laser marsupialization: fifteen-year experience at a single-center. Int J Pediatr Otorhinolaryngol. 2013;77:424-428.
  • 11. Sands NB, Anand SM, Manoukian JJ. Series of congenital vallecular cysts: a rare yet potentially fatal course of upper airway obstruction and failure to thrive in the newborn. Otolaryngol Head Neck Surg. 2009;38:6-10.
  • 12. De Santo LW, Devine KD, Weiland LH. Cysts of the larynx-Classification. Laryngoscope. 1970;80:145-176.
  • 13. Birch DA. Laryngeal stridor in infants and children: a study of 200 cases. J Laryngol Otol. 1961;75:833-840.
  • 14. Holinger LD. Etiology of stridor in the neonate, infant and child. Ann Otol Rhinol Laryngol. 1980;89:397-400.
  • 15. Leung AK, Cho H. Diagnosis of stridor in children. Am Fam Physician. 1999;60:2289-2296.
  • 16. Oluwole M. Congenital vallecular cysts: a cause of failure to thrive. Br J Clin Pract. 1996;50:170.
  • 17. Zoumalan R, Maddalozzo J, Hollinger LD. Etiology of stridor in infants. Ann Otol Rhinol Laryngol. 2007;116:329-334.
  • 18. Koch BL. Cystic malformations of the neck in children. Pediatr Radiol. 2005;35:463-477.
  • 19. Lev S, Lec MH. Imaging of cystic lesions. Radiol Clin North Am. 2000;38:1013-1027.
  • 20. Leibowitz JM, Smith LP, Cohen MA, et al. Diagnosis and treatment of pediatric vallecular cysts and pseudocysts. Int J Pediatr Otorhinolaryngol. 2011;75:899-904.
  • 21. Chen EY, Lim J, Boss EF, et al. Transoral approach for direct and complete excision of vallecular cysts in children. Int J Pediatr Otorhinolaryngol. 2011;75:1147-1151.
There are 21 citations in total.

Details

Primary Language English
Subjects Paediatrics (Other)
Journal Section Articles
Authors

Fatih Günay 0000-0003-2051-8176

Project Number -
Publication Date January 23, 2020
Published in Issue Year 2019 Volume: 72 Issue: 3

Cite

APA Günay, F. (2020). Biphasic Stridor Related to a Congenital Vallecular Cyst. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 72(3), 367-369. https://doi.org/10.4274/atfm.galenos.2019.25743
AMA Günay F. Biphasic Stridor Related to a Congenital Vallecular Cyst. Ankara Üniversitesi Tıp Fakültesi Mecmuası. January 2020;72(3):367-369. doi:10.4274/atfm.galenos.2019.25743
Chicago Günay, Fatih. “Biphasic Stridor Related to a Congenital Vallecular Cyst”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72, no. 3 (January 2020): 367-69. https://doi.org/10.4274/atfm.galenos.2019.25743.
EndNote Günay F (January 1, 2020) Biphasic Stridor Related to a Congenital Vallecular Cyst. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72 3 367–369.
IEEE F. Günay, “Biphasic Stridor Related to a Congenital Vallecular Cyst”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 72, no. 3, pp. 367–369, 2020, doi: 10.4274/atfm.galenos.2019.25743.
ISNAD Günay, Fatih. “Biphasic Stridor Related to a Congenital Vallecular Cyst”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 72/3 (January 2020), 367-369. https://doi.org/10.4274/atfm.galenos.2019.25743.
JAMA Günay F. Biphasic Stridor Related to a Congenital Vallecular Cyst. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2020;72:367–369.
MLA Günay, Fatih. “Biphasic Stridor Related to a Congenital Vallecular Cyst”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 72, no. 3, 2020, pp. 367-9, doi:10.4274/atfm.galenos.2019.25743.
Vancouver Günay F. Biphasic Stridor Related to a Congenital Vallecular Cyst. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2020;72(3):367-9.
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