TY - JOUR
T1 - Congenital vallecular cyst
T2 - A rare and potentially lethal condition
AU - Mallick, Shabbir Ahmed
AU - Qureshi, Tabinda Naz
AU - Varghese, Ajoy Methew
AU - Al Busaidi, Mona Mohammed
PY - 2017/6/1
Y1 - 2017/6/1
N2 - Congenital vallecular cyst is a rare laryngeal lesion, accounting for 10-20% of all laryngeal cysts, with a potential to cause severe upper airway obstruction, which can be fatal. It can cause stridor, apnea, cyanosis, respiratory distress, and feeding difficulties. Diagnosis requires a high level of clinical suspicion and helps in timely intervention. Direct laryngoscopy is gold standard for definitive diagnosis. Treatment options include aspiration, marsupialization, and surgical excision. Here, we report a case of 7-week-old infant with complain of recurrent episodes of cyanosis when agitated, since the age of 3 weeks, admitted with impression of apparent life-threatening events (ALTEs). Extensive investigations were non-conclusive, which were done in local hospital. Direct laryngoscopy was performed in our hospital and showed presence of a vallecular cyst. Thus complete excision of cyst was done in the same setting with dramatic relief of symptoms.
AB - Congenital vallecular cyst is a rare laryngeal lesion, accounting for 10-20% of all laryngeal cysts, with a potential to cause severe upper airway obstruction, which can be fatal. It can cause stridor, apnea, cyanosis, respiratory distress, and feeding difficulties. Diagnosis requires a high level of clinical suspicion and helps in timely intervention. Direct laryngoscopy is gold standard for definitive diagnosis. Treatment options include aspiration, marsupialization, and surgical excision. Here, we report a case of 7-week-old infant with complain of recurrent episodes of cyanosis when agitated, since the age of 3 weeks, admitted with impression of apparent life-threatening events (ALTEs). Extensive investigations were non-conclusive, which were done in local hospital. Direct laryngoscopy was performed in our hospital and showed presence of a vallecular cyst. Thus complete excision of cyst was done in the same setting with dramatic relief of symptoms.
KW - Congenital valleclar cyst
KW - Cyanosis
KW - Respiratory distress
UR - http://www.scopus.com/inward/record.url?scp=85022013122&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85022013122&partnerID=8YFLogxK
M3 - Article
C2 - 28689530
AN - SCOPUS:85022013122
SN - 1022-386X
VL - 27
SP - 376
EP - 377
JO - Journal of the College of Physicians and Surgeons Pakistan
JF - Journal of the College of Physicians and Surgeons Pakistan
IS - 6
ER -