Mariën S, Jespers A, Vidts G, Schmelzer B
ENT Department, General Hospital Middelheim, Antwerp, Belgium.
Acta Otorhinolaryngol Belg. 2003;57(2):119-21.
Congenital laryngeal cysts are a rare cause of stridor in the neonate. Nevertheless, delayed diagnosis and treatment can cause life-threatening airway obstruction. Even though the diagnosis is easily made by careful inspection, treatment results often in recurrence. These facts are illustrated by a case of a baby with a saccular cyst. Immediately after diagnosis and 5 days later the cyst was de-roofed using a CO2 laser via an endolaryngeal approach. Because of a second recurrence an excision of the cyst was performed via a lateral cervical approach.
先天性喉囊肿是新生儿喘鸣的罕见病因。然而,诊断和治疗延迟可导致危及生命的气道梗阻。尽管通过仔细检查很容易做出诊断,但治疗后囊肿常复发。一名患有喉气囊肿婴儿的病例说明了这些情况。诊断后立即以及5天后,通过经喉内途径使用二氧化碳激光对囊肿进行了去顶术。由于囊肿再次复发,遂通过颈外侧入路对囊肿进行了切除。