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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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