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Congenital laryngeal cysts: current approach to management

Published online by Cambridge University Press:  29 June 2007

Martin Wai Pak ,
John Kong Sang Woo  and
Charles Andrew van Hasselt
Martin Wai Pak
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
John Kong Sang Woo
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Charles Andrew van Hasselt*
Affiliation:
Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
*
Address for correspondence: Professor C. A. van Hasselt, Division of Otorhinolaryngology, Department of Surgery, Prince of Wales Hospital, Shatin, N.T., Hong Kong Fax: (852) 26466312
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Abstract

Congenital laryngeal cysts are a rare cause of neonatal upper airway obstruction which may lead to serious morbidity and mortality if diagnosis and treatment are delayed. We reviewed our experience with nine patients over a six-year period. The annual incidence of this condition was 1.82 per 100,000 live births. The diagnosis can be confirmed safely by flexible laryngoscopy before definitive surgery is contemplated. Contrary to other studies, we found that endoscopic removal of cysts can achieve an effective cure without recurrence. Endoscopic deroofing is as effective as endoscopic excision but is technically simpler and thus is recommended as the treatment of choice.

Keywords

Laryngeal diseaseCystAirway obstructionEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 9 , September 1996 , pp. 854 - 856
Copyright
Copyright © JLO (1984) Limited 1996

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References

Abercrombie, J. (1881) Congenital cyst in larynx. Transactions of the Pathological Society of London 32: 33–34.Google Scholar
Abramson, A. L., Zielinski, B., Park, N. H. (1984) Congenital laryngeal saccular cyst of the newborn. Laryngoscope 94: 1580–1582.CrossRefGoogle ScholarPubMed
Bais, A. S., Uppal, K., Logani, K. B. (1989) Congenital cysts of the larynx. Journal of Laryngology and Otology 103: 966–967.CrossRefGoogle ScholarPubMed
Birch, D. A. (1961) Laryngeal stridor in infants and children. A study of 200 cases. Journal of Laryngology and Otology 75: 833–840.CrossRefGoogle Scholar
De Santo, L. W., Devine, K. D., Weiland, L. H. (1970) Cysts of the larynx: classification. Laryngoscope 80(1): 145–176.CrossRefGoogle ScholarPubMed
Gluckman, P. G. C, Chu, T. W. F., van Hasselt, C. A. (1991) Neonatal vallecular cysts and failure to thrive. Journal of Laryngology and Otology 106: 448–449.CrossRefGoogle Scholar
Henderson, L. T., Dennenny, J. C, Teichgraeber, J. (1985) Airway obstructing epiglottic cyst. Annals of Otology, Rhinology, and Laryngology 94: 473–476.CrossRefGoogle ScholarPubMed
Kleinfeld, L. (1934) Laryngeal cysts in the newborn. Archives of Otolaryngology 19: 590–593.CrossRefGoogle Scholar
Kristensen, S., Tveteras, K. (1986) Congenital laryngeal cyst in infancy: A rare cause of life-threatening stridor. Journal of Oto-Rhino-Laryngology and its Related Specialities 48: 150–155.CrossRefGoogle ScholarPubMed
Lorie, A., Lux, P. (1932) Congenital cyst of the larynx. Laryngoscope 42: 957–960.CrossRefGoogle Scholar
Mitchell, D. B., Irwin, B. C, Bailey, C. M., Evans, J. N. G. (1987) Cysts of the infant larynx. Journal of Laryngology and Otology 101: 833–837.CrossRefGoogle ScholarPubMed
Myer, C. M. (1988) Vallecular cyst in the newborn. Ear, Nose and Throat Journal 67(2): 122–124.Google ScholarPubMed
Niparko, J. K., Moran, M. L., Baker, S. R. (1987) Laryngeal saccular cyst. An unusual clinical presentation. Otolaryngology - Head and Neck Surgery 97(6): 576–579.CrossRefGoogle ScholarPubMed
Nussbaum, E. (1983) Flexible fibreoptic bronchoscopy and laryngoscopy in infants and children. Laryngoscope 93: 1073–1075.CrossRefGoogle ScholarPubMed
Suehs, O. W., Powell, D. B. (1967) Congenital cyst of the larynx in infants. Laryngoscope 77: 654–662Google ScholarPubMed
Vaughty, P. A., Reddy, R. (1980) Acute upper airway obstruction in infants and children. Evaluation by the fibreoptic bronchoscope. Annals of Otology, Rhinology, and Laryngology 89: 417–418.Google Scholar
Ward, R. F., Jones, J., Arnold, J. A. (1995) Surgical management of congenital saccular cysts of the larynx. Annals of Otology, Rhinology and Laryngology 104: 707–710.CrossRefGoogle ScholarPubMed