Rao Sanjay, Zameer M M, C Vinay, D'Cruz Ashley
Narayana Health City, 258/A, Bommasandra Industrial Area Hosur Road, 560099 Bangalore, Karnataka India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):1352-1355. doi: 10.1007/s12070-023-03495-w. Epub 2023 Feb 14.
: To study the presentation, management and outcome of laryngeal cysts in children. : This is a retrospective observational study of children with Laryngeal cysts who were managed in the Department of Paediatric Surgery between April 2015 to Jan 2022. : Eight children with laryngeal cysts were included, 5 were girls. Age ranged from 3 days to 10 years (median 5 months). Weight ranged from 3kg to 40kg (median 6.3 kg). All presented with stridor. Three children had co-morbid conditions, one each with Leucocyte adhesion deficiency type -1, atrial septal defect & PHACES syndrome. Two children had severe respiratory distress and required tracheostomy at presentation. All children underwent MLB. The cysts were 2 subglottic cysts (one inflammatory cyst) and 6 vallecular cyst. Five underwent endoscopic excision of cysts, 1 underwent excision with lateral cervical approach, 1 underwent endoscopic de-roofing of cyst and airway reconstruction with anterior costal cartilage graft (associated Sub glottis stenosis). : Laryngeal cysts are a rare cause of stridor in children. MLB is the best diagnostic tool. Treatment with excision / deroofing of the cyst endoscopically, is safe and effective in paediatric age group.
The online version contains supplementary material available at 10.1007/s12070-023-03495-w.
:研究儿童喉囊肿的表现、治疗及预后。:这是一项对2015年4月至2022年1月在小儿外科接受治疗的喉囊肿患儿的回顾性观察研究。:纳入8例喉囊肿患儿,其中5例为女孩。年龄范围为3天至10岁(中位年龄5个月)。体重范围为3kg至40kg(中位体重6.3kg)。所有患儿均表现为喘鸣。3例患儿有合并症,分别为白细胞黏附缺陷1型、房间隔缺损和PHACES综合征各1例。2例患儿出现严重呼吸窘迫,就诊时需要行气管切开术。所有患儿均接受支撑喉镜检查(MLB)。囊肿包括2例声门下囊肿(1例为炎性囊肿)和6例会厌囊肿。5例行囊肿内镜切除术,1例行颈外侧入路切除术,1例行囊肿内镜去顶术并采用肋软骨移植进行气道重建(合并声门下狭窄)。:喉囊肿是儿童喘鸣的罕见原因。支撑喉镜检查是最佳诊断工具。在内镜下对囊肿进行切除/去顶治疗,在儿童年龄组中是安全有效的。
在线版本包含可在10.1007/s12070-023-03495-w获取的补充材料。