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Acquired subglottic cysts in the low birth weight, pre-term infant

Published online by Cambridge University Press:  29 June 2007

P. A. Tierney ,
I. Francis  and
G. A. J. Morrison
P. A. Tierney*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St. Thomas' Hospitals, London, UK.
I. Francis
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St. Thomas' Hospitals, London, UK.
G. A. J. Morrison
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Guy's and St. Thomas' Hospitals, London, UK.
*
Address for correspondence: Mr Paul Tierney, Department of Otolaryngology – Head and Neck Surgery, Guy's Hospital, St Thomas' Street, London SE1 9RT.
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Abstract

Although subglottic cysts have previously been reported as a cause of airway obstruction in the neonate, they have previously been considered to be a relatively rare cause. Cystic narrowing of the subglottis has been associated with endotracheal intuhation. With improving survival of pre-term infants the incidence of the condition could be expected to rise. Prior to 1996, only 58 cases had been reported in the literature. We believe that the true incidence of the condition has been considerably under-reported. Over a six-month period our unit diagnosed five cases of compressible cysts in the subglottis in low birth weight, pre-term infants. All patients underwent diagnostic microlaryngobronchoscopy and vaporization of the cysts by CO2 laser. Three children required more than one procedure. In all cases a satisfactory airway was achieved. The pathogenesis, diagnosis and treatment of the condition is discussed.

Keywords

Cyst, subglotticLaryngeal diseasesIntubation, intratrachealInfant, newborn
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 478 - 481
Copyright
Copyright © JLO (1984) Limited 1997

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References

Bagwell, C. E. (1990) CO2 laser excision of pediatric airway lesions. Journal of Pediatric Surgery 25: 1152–1156.CrossRefGoogle ScholarPubMed
Chamberlain, D. (1970) Congenital subglottic cysts of the larynx. Laryngoscope 80: 254–259.CrossRefGoogle ScholarPubMed
Cotton, R. T., Evans, J. N. G. (1981) Laryngotracheal reconstruction in children: five year follow-up. Annals of Otology, Rhinology and Laryngology 90: 516.CrossRefGoogle ScholarPubMed
Cotton, R. T., Meyer, C. M. III (1984) Contemporary surgical management of laryngeal stenosis in children. American Journal of Otolaryngology 5: 360–368.CrossRefGoogle ScholarPubMed
Couriel, J. M., Phelan, P. D. (1981) Subglottic cysts: a complication of neonatal endotracheal intubation? Paediatrics 68: 103–105.CrossRefGoogle ScholarPubMed
Dagan, R., Leiberman, A., Strauss, R., Bar-Ziv, J., Hirsch, M. (1979) Subglottic mucocele in an infant. Pediatric Radiology 8: 119–121.CrossRefGoogle ScholarPubMed
DeSanto, L. W., Devine, K. D., Weiland, L. H. (1970) Cysts of the larynx: Classification. Laryngoscope 80: 145–176.CrossRefGoogle ScholarPubMed
Downing, G. J., Hayen, L. K., Kilbride, H. W. (1993) Acquired subglottic cysts in the low birth weight infant – Characteristics, treatment and outcome. American Journal of Diseases of Children 147: 971–974.CrossRefGoogle ScholarPubMed
Hawkins, D. B. (1977) Glottic and subglottic stenosis from endotracheal intubation. Laryngoscope 87: 339.CrossRefGoogle ScholarPubMed
Hawkins, D. B. (1978) Hyaline membrane disease of the neonate: prolonged intubation in the management; effects on the larynx. Laryngoscope 88: 201–224.CrossRefGoogle ScholarPubMed
Joshi, V. V., Mandavia, S., Stern, L., Wiglesworth, F. W. (1972) Acute lesions induced by endotracheal intubation. American Journal of Diseases of Children 124: 646–649.CrossRefGoogle ScholarPubMed
Mitchell, D. M., Irwin, B. C., Bailey, C. M., Evans, J. N. G. (1987) Cysts of the infant larynx. Journal of Laryngology and Otology 101: 833–837.CrossRefGoogle ScholarPubMed
Smith, J. D., Cotton, R. T., Myer, C. M. III. (1990) Subglottic cysts in premature infants. Otolaryngology – Head and Neck Surgery 116: 479–482.Google Scholar
Smith, S. P., Berkowitz, R. G., Phelan, P. D. (1994) Acquired subglottic cysts in infancy. Archives of Otolaryngology, Head and Neck Surgery 120: 921–924.CrossRefGoogle ScholarPubMed
Toriumi, D. M., Miller, D. R., Holinger, L. D. (1987) Acquired subglottic cysts in premature infants. international Journal of Pediatric Otorhinolaryngology 14: 151–160.CrossRefGoogle ScholarPubMed
Triglia, J. M., Portaspana, T., Cannoni, M., Petch, A. (1991) Subglottic cyst in a newborn. Journal of Laryngology and Otology 105: 222–223.CrossRefGoogle ScholarPubMed
Wigger, H. J., Tang, P. (1968) Fatal laryngeal obstruction by iatrogenic subglottic cyst. Journal of Pediatrics 72: 815–820.CrossRefGoogle ScholarPubMed