%0 Case Reports %T Vallecular cyst causing sleep-disordered breathing in an older child. %A Cooper DJ %A Mitzner R %A Gantwerker EA %J BMJ Case Rep %V 17 %N 4 %D 2024 Apr 17 %M 38631815 暂无%R 10.1136/bcr-2023-258824 %X Consensus-based recommendations are needed to better guide paediatric otolaryngologists in providing standardised care to children with sleep-disordered breathing (SDB). Here we present a unique case of vallecular cyst found during SDB workup in a patient in their middle childhood (6-12 years old). While the patient underwent successful cyst resection, he was noted to have a suspected recurrence 6 months later. Immediately prior to revision excision, repeat awake flexible fibre-optic laryngoscopy revealed complete resolution of the suspected recurrence. This case underscores the significance of performing a complete upper airway examination, including endoscopic examination, to identify structural and anatomical lesions in older children with SDB.