Ozmen Serap, Sahiner Umit Murat, Balaban Ismail, Yavuz S Tolga, Unal Faruk, Arslan Zafer
Allergy Unit, Dr. Sami Ulus Children's Hospital, Ankara, Turkey.
Turk J Pediatr. 2011 Nov-Dec;53(6):684-6.
Subglottic cysts are rare causes of stridor in infancy and should be suspected in the case of intubation. A 15-month-old male presented with recurrent stridor and respiratory distress. Prematurity and intubation were present in his history. Two subglottic cysts below the glottis were diagnosed. The cysts were ruptured by flexible bronchoscopy. The child's stridor and other symptoms disappeared thereafter. Early diagnosis of subglottic cysts is important since the obstruction can be relieved by rupturing the cysts with bronchoscope, whereas development of a fibrotic stenosis may require a tracheotomy, with its attending morbidity.
声门下囊肿是婴儿喘鸣的罕见原因,插管时应怀疑此病。一名15个月大的男性患儿出现反复喘鸣和呼吸窘迫。他有早产和插管史。诊断为声门下有两个囊肿。通过可弯曲支气管镜使囊肿破裂。此后患儿的喘鸣和其他症状消失。声门下囊肿的早期诊断很重要,因为通过支气管镜使囊肿破裂可缓解梗阻,而纤维化狭窄的发展可能需要气管切开术及其相关的发病率。