European Journal of Pediatrics

, Volume 159, Issue 1, pp 79–81

Vallecular cyst: an uncommon cause of stridor in newborn infants

  • W. -S. Hsieh
  • P. -H. Yang
  • K. -S. Wong
  • H. -Y. Li
  • E. C.-R. Wang
  • T. -F. Yeh
ORIGINAL PAPER

DOI: 10.1007/PL00013809

Cite this article as:
Hsieh, W., Yang, P., Wong, K. et al. Eur J Pediatr (2000) 159: 79. doi:10.1007/PL00013809

Abstract

Vallecular cyst, a rare but generally benign lesion in the larynx, may cause stridor 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 stridor, 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 stridor in newborn infants. Respiratory and feeding difficulties in these patients can be dramatically improved after appropriate surgical removal of the cyst.

Key words Vallecular cystNeonateInfant

Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • W. -S. Hsieh
    • 1
  • P. -H. Yang
    • 1
  • K. -S. Wong
    • 1
  • H. -Y. Li
    • 2
  • E. C.-R. Wang
    • 3
  • T. -F. Yeh
    • 4
  1. 1.Department of Paediatrics, Division of Neonatology, Chang Gung Children's Hospital and Chang Gung University, No. 5, Fu-Hsing Street, Kwaishan, Taoyuan, 3333 Taiwan, Republic of China e-mail: hsiehws@ms16.hinet.net Tel.: +886-3-3281200, ext. 8503/8504; Fax: +886-3-3288957TW
  2. 2.Department of Otolaryngology, Chang Gung Children's Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, Republic of ChinaTW
  3. 3.Department of Radiology, Chang Gung Children's Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan, Republic of ChinaTW
  4. 4.Department of Paediatrics, National Cheng Kung University, Tainan, Taiwan, Republic of ChinaTW