Diagnosis and management of congenital vallecular cyst: An institutional experience

Authors : Serap Şahin Önder, Gözde Günay, Aslı Şahin Yilmaz, Özgül Gergin

Pages : 81-86

View : 15 | Download : 5

Publication Date : 2020-09-20

Article Type : Research

Abstract :Objectives: This study aims to evaluate the clinical presentation, diagnosis, and management of infants with a congenital vallecular cyst VC . Patients and Methods: Four infants 2 males, 2 females; mean age: 45±17 days; range, 28 to 63 days who were operated or followed for a congenital VC were retrospectively analyzed between January 2016 and March 2020. Data including patient demographics, major symptoms cyanosis, inspiratory stridor, suprasternal retraction, difficulty feeding , diagnostic methods, type of coexisting anomalies, surgical procedures, and length of follow-up and recurrence were recorded. Results: All patients presented with varying degrees of respiratory symptoms including inspiratory stridor and suprasternal retraction. The diagnosis was made based on awake flexible fiberoptic laryngoscopy FFL in all four infants. Two patients were treated with endoscopic cyst excision. One case underwent endoscopic cyst excision and supraglottoplasty, while the other was followed without surgery. All surgeries were successful, as none of the patients experienced recurrence. Conclusion: Although congenital VCs are extremely rare, they should be considered among the differential diagnosis of congenital stridor. A detailed examination with FFL should be performed for diagnosis. Based on our findings, transoral endoscopic excision of VCs is a safe, effective, and feasible procedure as a surgical treatment to prevent recurrence.
Keywords : Congenital, cyst excision, infant, vallecular cys