Pediatric Cystic Deep Neck Mass Presenting With Stridor and Dysphagia

Vos, Teresa G; Bann, Darrin V.; Doody, Jaime

doi:10.1001/jamaoto.2022.2788

JAMA Otolaryngol Head Neck Surg

2022

DOI: 10.1001/jamaoto.2022.2788

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Pediatric Cystic Deep Neck Mass Presenting With Stridor and Dysphagia

Teresa G Vos

Darrin V. Bann

Jaime Doody

Abstract: A 6-month-old girl presented to the emergency department for evaluation of fever and was noted to have mild inspiratory stridor, which began acutely at 4 months of age without any inciting illness or event. What is your diagnosis?

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2024

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Anesthetic Management of a Pediatric Patient with Midline Neck Mass Causing Significant Tracheal Compression in Stridor for Resection of Tumor

Mathew,

Rajan,

Sreekumar

et al. 2024

Journal of Indian College of Anaesthesiologists

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A 1-year-old female child weighing 10 kg, with a mass over the lower part of the neck presented with stridor. Computed tomography showed a solid enhancing lesion in the lower neck causing marked tracheal compression with complete apposition of the anterior and posterior walls of the trachea causing almost complete obliteration of the tracheal lumen. The child was posted for resection of the tumor under general anesthesia. She was induced with sevoflurane 8% in oxygen and intubated following a flexible bronchoscopic assessment with a 4.0 mm cuffed endotracheal tube using C-MAC videolaryngoscope. After positioning, she developed airway compression, and using a fiber-optic bronchoscope, ETT tip was repositioned distal to the area of tracheal compression. There were repeated episodes of airway compression with desaturation intraoperatively. Postoperatively, the child was ventilated. Due to tracheomalacia and bilateral vocal cord palsy, the extubation trials failed, and she was eventually tracheostomized on the 5th postoperative day to maintain airway.

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Anesthetic Management of a Pediatric Patient with Midline Neck Mass Causing Significant Tracheal Compression in Stridor for Resection of Tumor

Mathew,

Rajan,

Sreekumar

et al. 2024

Journal of Indian College of Anaesthesiologists

View full text Add to dashboard Cite

show abstract

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Pediatric Cystic Deep Neck Mass Presenting With Stridor and Dysphagia

Abstract: A 6-month-old girl presented to the emergency department for evaluation of fever and was noted to have mild inspiratory stridor, which began acutely at 4 months of age without any inciting illness or event. What is your diagnosis?

Cited by 1 publication

References 12 publications

Anesthetic Management of a Pediatric Patient with Midline Neck Mass Causing Significant Tracheal Compression in Stridor for Resection of Tumor

Anesthetic Management of a Pediatric Patient with Midline Neck Mass Causing Significant Tracheal Compression in Stridor for Resection of Tumor

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