Selin Ünsaler1, Ozan Gökler2, Ozan Altuntaş2, Ayşenur Meriç Hafiz2, Ömer Faruk Ünal2. 1. Department of Otolaryngology, Koç University School of Medicine, Koç University Hospital, Davutpaşa Cad. Topkapı, 34010, Istanbul, Turkey. sunsaler@ku.edu.tr. 2. Department of Otolaryngology, Koç University School of Medicine, Koç University Hospital, Davutpaşa Cad. Topkapı, 34010, Istanbul, Turkey.
Abstract
PURPOSE: To analyze the reason for the diversity of the clinical course of subglottic cysts and discuss their pre- and coexistence with subglottic stenosis. METHODS: The medical records of patients who were treated for subglottic cysts between 2003 and 2020 were retrospectively reviewed and direct laryngoscopy videos were analyzed to assess the healing patterns of their disease. RESULTS: Of the 15 patients, 10 had a history of intubation in the neonatal period. In 11 patients, the cysts were transparent and well defined, and no recurrence of subglottic cysts occurred after the initial surgery. In four patients, the cysts were located deep in the mucosa and did not have the typical appearance of a cyst, but rather of a stenotic segment; all of them had a history of intubation and three of them required laryngotracheal reconstruction. CONCLUSION: Transparent, thin-walled superficial subglottic cysts with healthy surrounding mucosa can easily be treated with endoscopic marsupialization; however, the treatment of deep subglottic cysts can be challenging. The coexistence of subglottic cysts and subglottic stenosis is not rare. We point out the need for considering the possibility of a missed deep submucosal cyst in a seemingly refractory case of pediatric subglottic stenosis with atypical endoscopic findings and with a background history of prior intubation.
PURPOSE: To analyze the reason for the diversity of the clinical course of subglottic cysts and discuss their pre- and coexistence with subglottic stenosis. METHODS: The medical records of patients who were treated for subglottic cysts between 2003 and 2020 were retrospectively reviewed and direct laryngoscopy videos were analyzed to assess the healing patterns of their disease. RESULTS: Of the 15 patients, 10 had a history of intubation in the neonatal period. In 11 patients, the cysts were transparent and well defined, and no recurrence of subglottic cysts occurred after the initial surgery. In four patients, the cysts were located deep in the mucosa and did not have the typical appearance of a cyst, but rather of a stenotic segment; all of them had a history of intubation and three of them required laryngotracheal reconstruction. CONCLUSION: Transparent, thin-walled superficial subglottic cysts with healthy surrounding mucosa can easily be treated with endoscopic marsupialization; however, the treatment of deep subglottic cysts can be challenging. The coexistence of subglottic cysts and subglottic stenosis is not rare. We point out the need for considering the possibility of a missed deep submucosal cyst in a seemingly refractory case of pediatric subglottic stenosis with atypical endoscopic findings and with a background history of prior intubation.
Authors: Glen J Watson; Tass H Malik; Naveed A Khan; Patrick Z Sheehan; Michael P Rothera Journal: Int J Pediatr Otorhinolaryngol Date: 2007-01-18 Impact factor: 1.675
Authors: Jerome Lim; William Hellier; Jonathan Harcourt; Susanna Leighton; David Albert Journal: Int J Pediatr Otorhinolaryngol Date: 2003-05 Impact factor: 1.675