Lou Fan, Ming Cheng, Gao Yan, Zu Jinyan, Ma Jing
Department of Otolaryngology Head and Neck Surgery，Kunming Children's Hospital，Kunming，650228，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2025 Feb;39(2):120-123. doi: 10.13201/j.issn.2096-7993.2025.02.004.
To explore the therapeutic strategy for laryngeal cysts in infants. A retrospective analysis of the clinical data of 19 children with laryngeal cysts treated in Kunming Children's Hospital from January 2020 to January 2023. All patients were diagnosed through electronic laryngoscopy examination. Twelve neonates were admitted to the neonatal intensive care unit. Five of them received mechanical ventilation with tracheal intubation before surgery due to severe respiratory distress, and seven received oxygen therapy with a head mask. The remaining seven children were admitted to Department of Otolaryngology Head and Neck Surgery, of which three cases were treated with oxygen therapy through a mask during sleep due to frequent shortness of breath during sleep. All patients underwent low-temperature plasma radiofrequency ablation under general anesthesia to remove the cysts. Three newborns were unable to have their tracheal tubes removed due to complications with pneumonia after surgery, while the rest of the children were able to have their tubes successfully removed after complete anesthesia, and no gastric tubes were placed. All postoperative respiratory difficulties in the children disappeared, and there were no complications such as bleeding, hoarseness, or laryngeal stenosis. Five pediatric patients had incomplete relief of laryngeal ringing symptoms one month after surgery, and electronic laryngoscopy diagnosed laryngeal softening. Regular follow-up is recommended. One child relapsed 4 months after surgery and underwent a follow-up surgery six months later without recurrence. Endoscopic low-temperature plasma radiofrequency ablation is an effective surgical method for treating laryngeal cysts, with a low postoperative recurrence rate. Laryngeal cysts may be accompanied by laryngeal softening, which may be a possible reason for the postoperative symptoms not improving.
探讨婴儿喉囊肿的治疗策略。回顾性分析2020年1月至2023年1月在昆明市儿童医院接受治疗的19例喉囊肿患儿的临床资料。所有患者均通过电子喉镜检查确诊。12例新生儿入住新生儿重症监护病房。其中5例因严重呼吸窘迫在手术前接受气管插管机械通气，7例接受面罩吸氧治疗。其余7例患儿入住耳鼻咽喉头颈外科，其中3例因睡眠中频繁气短在睡眠期间通过面罩吸氧治疗。所有患者均在全身麻醉下接受低温等离子体射频消融术以切除囊肿。3例新生儿术后因肺炎并发症无法拔除气管导管，其余患儿在完全麻醉后成功拔除导管，未放置胃管。所有患儿术后呼吸困难均消失，无出血、声音嘶哑或喉狭窄等并发症。5例患儿术后1个月喉鸣症状缓解不完全，电子喉镜诊断为喉软化。建议定期随访。1例患儿术后4个月复发，6个月后接受二次手术，未再复发。内镜下低温等离子体射频消融术是治疗喉囊肿的一种有效手术方法，术后复发率低。喉囊肿可能伴有喉软化，这可能是术后症状未改善的一个原因。
