Review of obstructive pediatric airway pathology

Long, Barry Daniel; Carroll, William W.

doi:10.1016/j.otot.2022.09.004

Cited by 1 publication

(1 citation statement)

References 14 publications

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“…Laryngeal cyst represents a unique clinical challenge, with a combination of a thorough medical history, radiological techniques, as well as clinical and endoscopic examinations providing essential comprehensive information for the confirmation of the diagnosis. Surgical interventions for the treatment of paediatric laryngeal sacular cysts present significant challenges due to the reduced dimensions of the airways in children and their proximity to crucial anatomical structures such as the recurrent laryngeal nerve [18,19]. Larger cysts place patients at greater risk, mainly due to the increased difficulty in completely removing the cystic tissue without compromising adjacent structures.…”

Section: Discussionmentioning

confidence: 99%

Challenges in the Treatment of Laryngeal Cyst in a Baby Less than 2 Months Old: A Clinical Case Report

Vieira,

Mamprim,

Tinoco

et al. 2023

JAMMR

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Laryngeal cysts are rare benign lesions, mostly asymptomatic and with a predominant etiology in adults. In children, the failure to diagnose laryngeal cysts is associated with a mortality rate of up to 40% due to the potential for airway obstruction. This article reports the case of an infant who presented with upper airway obstruction and acute respiratory failure. Immediate direct laryngoscopy was performed by the otolaryngology team in the operating room, revealing the presence of a cystic tumor in the vallecula that pushed the epiglottis, leading to almost complete obstruction of the glottic lumen. Microsurgery of the larynx was performed with total excision of the tumor, resolving the laryngeal obstructive condition. Although laryngeal cysts are rare, early diagnosis allows for definitive treatment. This can improve respiratory insufficiency, avoiding prolonged orotracheal intubation, the progression of which can lead to cardiac and respiratory arrest and death.

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Section: Discussionmentioning

confidence: 99%