Surgical and anesthetic considerations of laryngeal saccular cyst: a case report

Abstract

IntroductionSupraglottic laryngeal cysts are benign, uncommon lesions that have the potential to cause airway compromise.Case PresentationWe present a case of a 46-year-old Caucasian woman who was scheduled for excision of a large neck growth (saccular cyst) and was managed successfully. There was thorough consideration regarding anesthetic and surgical management. Steps taken led to a successful excision with no recurrence during follow up.ConclusionThis case was an opportunity to consider the challenges in the airway management associated with such cysts and provided reassurance that excision of these cysts is associated with a good post-operative outcome.

Congenital Bilateral Saccular Cysts and Bifid Epiglottis: Presentation and Management

“…The clinical picture of saccular disorders varies from asymptomatic to symptomatic according to the type, size, degree of extension and the age of the patient. If symptomatic, patients usually present with hoarseness, stridor, respiratory distress during feeding and snoring [2,5,10]. In rare severe cases, such as our case, saccular disorders may result in death unless immediate airway intervention occurs [11].…”

“…The external approach is usually reserved for recurrent cases. The internal approach is via microlaryngoscopy and is the most common choice including endoscopic needle aspiration, marsupialization and ventriculotomy [2,10,13]. Endoscopic marsupialization of the cyst with application of CO 2 laser proved to be safe and effective [10,13].…”

“…The most common congenital anomalies of the larynx with such a presentation include laryngomalacia (60 %), vocal cord paralysis (VCP) (10 %), and subglottic stenosis. Another rare cause is that of saccular disorders which almost always present with stridor [1][2][3].…”

Anesthetic Approach in a Child with Laryngocele: A Case Study

“…Selection of an anesthetic technique in patients with laryngocele can be a source of concern. The proper anesthetic approach should be determined via preoperative assessment and early preparation (12). Careful history-taking and physical examination before any intervention are also essential.…”

“…It is recommended that a skilled anesthesiologist in fiberoptic intubation be accessible. In life-threatening conditions, some other invasive measures, such as cricothyrotomy or tracheostomy, may be required for maintaining proper oxygenation and ventilation (12)(13)(14). Surgical cricothyrotomy at young age is not allowed, although needle cricothyrotomy can be safely performed (15).…”