METHODS: A 15-day-old female newborn presented with stridor, dysphagia and dyspnea that worsened and eventually led to a diagnosis of a large serous cyst on the epiglottis\'s lingual surface, compressing the entrance to the larynx. Surgery was performed under general anesthesia and the entire cyst was excised using rigid endoscopy. After the surgery, the infant made a quick recovery with no complications or recurrence.
UNASSIGNED: Vallecular cysts are a rare type of laryngeal cysts and an uncommon cause of congenital stridor that requires immediate diagnosis and management to prevent upper airway obstruction and death. Clinical features vary depending on the patient\'s and cyst\'s characteristics. Laryngoscope can help in confirming the final diagnosis. Complete excision is a better than aspiration, as it has a lower recurrence rate.
CONCLUSIONS: Vallecular cysts are a life-threatening condition that requires early diagnosis and immediate management to avoid any potential complications. It must be taken into account in the presence of congenital stridor. Marsupialization and excision (extirpation) have equal effectiveness and low recurrence rate, making them definitive surgical treatments for vallecular cysts.
方法:一名15天大的女性新生儿出现喘鸣,吞咽困难和呼吸困难恶化,并最终导致会厌舌面巨大的浆液性囊肿的诊断,压缩喉部的入口.在全身麻醉下进行手术,并使用硬质内窥镜将整个囊肿切除。手术后,婴儿恢复很快,没有并发症或复发。
■小分子囊肿是一种罕见的喉囊肿,是先天性喘鸣的罕见原因,需要立即诊断和治疗以防止上呼吸道阻塞和死亡。临床特征因患者和囊肿的特征而异。喉镜可以帮助确认最终诊断。完全切除比抽吸更好,因为它的复发率较低。
结论:小分子囊肿是一种危及生命的疾病,需要早期诊断和立即治疗,以避免任何潜在的并发症。在存在先天性喘鸣时必须考虑到这一点。袋状化和切除术(摘除)具有同等的疗效和低复发率,使它们成为瓣膜囊肿的决定性手术治疗方法。