Vallecular Cyst: An Uncommon Cause of Stridor in Newborn Infants
Resource
EUROPEAN JOURNAL OF PEDIATRICS v.159 n.1-2 pp.79-81
Journal
EUROPEAN JOURNAL OF PEDIATRICS
Journal Volume
v.159
Journal Issue
n.1-2
Pages
79-81
Date Issued
2000
Date
2000
Author(s)
Hsieh, W. -S.
Yang, P. -H.
Wong, K. -S.
Li, H. -Y.
Wang, E. C.-R.
Yeh, T. -F.
Abstract
Vallecular cyst, a rare but generally benign lesion in the larynx, may cause strider and even life-threatening airway obstruction in early infancy. We retrospectively studied 14 cases of newborn infants with vallecular cyst. There was no gender predilection and most cases were full -term and appropriate for gestational age. The clinical presentations included strider, chest wall retraction, feeding difficulties and failure to thrive. Laryngomalacia was the most common associated anomaly. Flexible laryngoscopy was sufficient for diagnosing the vallecular cyst and larygmalacia. Maintenance of airway patency, nutritional support, and de- roofing of the cyst were the mainstays of management.Conclusion Vallecular cyst should be included in the differential diagnosis of strider in newborn infants. Respiratory and feeding difficulties in these patients can be dramatically improved after appropriate surgical removal of the cyst.
Subjects
vallecular cyst
neonate
infant
FAILURE-TO-THRIVE
LARYNX
TONGUE
Type
journal article