Abstract
Aim: To study the presentation, management and outcome of laryngeal cysts in children. Materials and methods: This is a retrospective observational study of children with Laryngeal cysts who were managed in the Department of Paediatric Surgery between April 2015 to Jan 2022. Observations and Results: Eight children with laryngeal cysts were included, 5 were girls. Age ranged from 3 days to 10 years (median 5 months). Weight ranged from 3kg to 40kg (median 6.3 kg). All presented with stridor. Three children had co-morbid conditions, one each with Leucocyte adhesion deficiency type -1, atrial septal defect & PHACES syndrome. Two children had severe respiratory distress and required tracheostomy at presentation. All children underwent MLB. The cysts were 2 subglottic cysts (one inflammatory cyst) and 6 vallecular cyst. Five underwent endoscopic excision of cysts, 1 underwent excision with lateral cervical approach, 1 underwent endoscopic de-roofing of cyst and airway reconstruction with anterior costal cartilage graft (associated Sub glottis stenosis). Conclusion: Laryngeal cysts are a rare cause of stridor in children. MLB is the best diagnostic tool. Treatment with excision / deroofing of the cyst endoscopically, is safe and effective in paediatric age group.
Similar content being viewed by others
References
DeSanto LW, Devine KD, Weiland LH (2015) Cysts of the larynx–classification. Laryngoscope 125:2629
Monnier P (2011) Ductal cysts, saccular cysts and laryngoceles. In: Monnier P (ed) Pediatric airway surgery. Springer, Lausanne, pp 141–145
Mitchell DB, Irwin BC, Bailey CM, Evans JNG (1987) Cysts of the infant larynx. J Laryngol Otol 101:833–837
De Santo LW, Devine KD, Weiland LH (1970) Cysts of the infant larynx – classification. Laryngoscope 80:145–146
Arens C, Glanz H, Kleinsasser O (1997) Clinical and morphological aspects of laryngeal cysts, Eur. Arch. Oto-Rhino-Laryngol. Offic. J. Eur. Fed. Oto-Rhino-Laryngol Soc 254:430–436
Fujimoto S, Mizuno R, Saito Y, Nakamura S (2004) Clinical application of waveintensity for the treatment of essential hypertension. Heart Ves 19:19–22
Forte V, Fuoco G, James A (2004) A new classification system for congenital laryngeal cysts. Laryngoscope 114:1123–1127
Tsai YT, Lee LA, Fang TJ, Li HY (2013) 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 77:424–428
Noah B, Sands SM, Anand (2009) Series of congenital vallecular cysts: a rare yet potentially fatal cause of upper airway obstruction and failure to thrive in the newborn. J Otolaryngol Head Neck Surg 38:6–10
Xuanzhao H, Jibao W (1998) Congenital laryngeal cyst. In: Xuanzhao H, Jibao W (eds) Practical otorhinolaryngology. People’s Medical Publishing House, Beijing, pp 57–59
Gutierrez JP, Berkowitz RG, Robertson CF (1999) Vallecular cysts in newborns and young infants. Pediatr Pulmonol 27:282–285
Ku ASW (2000) Vallecular cyst: report of four cases – one with co-exiting laryngomalacia. J Laryngol Otol 114:224–226
Wong KS, Li HY, Huang TS (1995) Vallecular cyst synchronous with laryngomalacia: presentation of two cases, Otolaryngol. Head Neck Surg 113:621–624
Gandhi S, Raza SA, Thekedar P, Mishra P (2011) Congenital vallecular cyst with laryngomalacia: a report of two cases. J Laryngol Voice 1:27–29
Yao TC, Chiu CY, Wu KC, Wu LJ, Huang JL (2004) Failure to thrive caused by the coexistence of vallecular cyst, laryngomalacia and gastroesophageal reflux in an infant. Int J Pediatr Otorhinolaryngol 68:1459–1464
Kirse DJ, Rees CJ, Celmer AW, Bruegger DE (2006) Endoscopic extended ventriculotomy for congenital saccular cysts of the larynx in infants. Arch Otolaryngol Head Neck Surg 132:724–728
Rodrı´guez H, Zanetta A, Cuestas G (2013) Congenital saccular cyst of the larynx: a rare cause of stridor in neonates and infants. Acta Otorrinolaringol Esp 64:50–54
Hsieh WS, Yang PH, Wong KS, Li HY, Wang EC, Yeh TF (2000) Vallecular cyst: an uncommon cause of stridor in newborn infants. Eur J Pediatr 159:79–81
Civantos FJ, Holinger LD (1992) Laryngoceles and saccular cysts in infants and children. Arch Otolaryngol Head Neck Surg 118:296–300
Acknowledgements
Nil.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicting Interest
Nil
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic Supplementary Material
Below is the link to the electronic supplementary material.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Rao, S., Zameer, M., C, V. et al. Laryngeal Cyst in Children : A Retrospective Analysis. Indian J Otolaryngol Head Neck Surg 75, 1352–1355 (2023). https://doi.org/10.1007/s12070-023-03495-w
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-023-03495-w