Neonatal stridor and laryngeal cyst: Which comes first?
| Autor: | Rocco Bruno, Gabriella D'Angelo, Bruno Galletti, Lucia Marseglia, Francesco Galletti, Natalia Catalano, Pietro Impellizzeri, Vincenzo Salvo, Claudio Galletti, Eloisa Gitto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Stridor Laryngoscopy Population Gestational Age Diagnosis Differential Laryngeal Diseases 03 medical and health sciences 0302 clinical medicine otorhinolaryngologic diseases medicine Laryngomalacia Birth Weight Humans 030223 otorhinolaryngology education Respiratory Sounds education.field_of_study Respiratory distress medicine.diagnostic_test business.industry Cysts Infant Newborn medicine.disease Marsupialization Endoscopy Surgery Pediatrics Perinatology and Child Health Failure to thrive Female medicine.symptom congenital laryngeal cyst laryngomalacia newborn stridor vallecular cyst Pediatrics Perinatology and Child Health business 030217 neurology & neurosurgery |
| Popis: | Neonatal stridor is a rare condition usually caused by laryngomalacia. Congenital laryngeal cyst represents an uncommon cause of stridor in the neonatal population and may be misinterpreted as laryngomalacia, leading to serious morbidity and mortality if diagnosis and treatment are delayed. Herein we report the case of a full-term infant with stridor, feeding problems and failure to thrive. Initially, direct laryngoscopy diagnosed only laryngomalacia. As stridor worsened, however, and respiratory distress appeared, repeat laryngoscopy showed vallecular laryngeal cyst, visible macroscopically. The patient was successfully treated with endoscopic marsupialization. There was no evidence of recurrence at follow up after 3 months. This case highlights the importance of laryngoscopic assessment for suspected laryngeal abnormalities in infants with stridor. If symptoms worsen, endoscopy should be repeated, because congenital laryngeal cysts may not be immediately visible macroscopically. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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