Stridor Secondary to Acquired Subglottic Cyst: Rarity Makes it Missed

Bee See Goh, Izham Mesran

Research output: Contribution to journalArticle

Abstract

Subglottic cysts (SGCs) are a rare cause of airway obstruction in children. Medical advances, higher survival rates for preterm infants, and improved diagnostic equipment have increased the number of reported cases of SGCs over the last three decades, the majority occurring in infants who had been extremely premature neonates and had suffered from respiratory distress, therefore having been intubated and managed in neonatal ICUs. Symptoms of laryngeal cysts depend on the size and the location of the cyst and include a change in the tone of voice, dysphonia, hoarseness, dysphagia, stridor, and dyspnea. This condition is often misdiagnosed as laryngomalacia, asthma, croup, or other diseases, due to the fact that it manifests as recurring respiratory infections, stridor, and wheezing. Death can occur in severe cases that are not treated. When present, it may account for severe inspiratory stridor that compromise the airway. The accepted gold standard treatment is direct laryngoscopy with marsupialization of the cyst to prevent recurrence. Two cases of subglottic cyst in our centre are described here. Although all cases presented differently, but in both of our cases, which have previous history of intubation with prematurity were initially diagnosed as laryngomalacia and croup.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalIndian Journal of Otolaryngology and Head and Neck Surgery
DOIs
Publication statusAccepted/In press - 20 May 2016

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Respiratory Sounds
Cysts
Laryngomalacia
Croup
Diagnostic Equipment
Dysphonia
Hoarseness
Laryngoscopy
Neonatal Intensive Care Units
Airway Obstruction
Deglutition Disorders
Diagnostic Errors
Intubation
Premature Infants
Respiratory Tract Infections
Dyspnea
Asthma
Newborn Infant
Recurrence

Keywords

  • Acquired cyst
  • Laryngeal cyst
  • Stridor
  • Subglottic cysts

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

Stridor Secondary to Acquired Subglottic Cyst : Rarity Makes it Missed. / Goh, Bee See; Mesran, Izham.

In: Indian Journal of Otolaryngology and Head and Neck Surgery, 20.05.2016, p. 1-4.

Research output: Contribution to journalArticle

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