Endoscopic technologies in treatment 7-month-old child with multiple laryngeal cysts

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Abstract

Introduction. Subglottic cysts are a rare clinical entity among infants and children. The annual incidence of congenital laryngeal cysts is quoted as 1,82 per 100,000 live births. The majority of cases present in neonates born at the extremes of prematurity and invariably have been intubated and managed in neonatal intensive care units. Clinically, the pathology manifested as upper airway obstruction, stridor, and dysphonia. Various surgical techniques have been proposed for the treatment of patients with laryngeal cysts. In a large percentage of cases, tracheostomy is required, especially in patients with large cysts due to the development of symptoms of respiratory failure.

Purpose. The aim of this study is to demonstrate that endoscopic technologies in the treatment of laryngeal cysts in children can be useful to avoid tracheostomy and lead to an uneventful recovery.

Materials and methods. We present a clinical case of managing a 7-month-old child with multiple laryngeal cysts from the Department of Thoracic Surgery in the National Medical Research Center for Children’s Health Federal state autonomous institution of the Russian Federation Ministry of Health.

Conclusion. In the presented case, we demonstrate that modern minimally invasive techniques to treat laryngeal cysts restore the lumen of the respiratory tract. facilitate the course of the postoperative period, achieve complete patient recovery, and avoid tracheostomy.

About the authors

Abdumanap B. Alkhasov

National Medical Research Center for Children’s Health; Pirogov Russian National Research Medical University

Email: 7111957@mail.ru
ORCID iD: 0000-0003-3925-4991

Dr. Sci. (Med.), Professor, Head of department of Thoracic Surgery

Russian Federation, Moscow

Elena Yu. Dyakonova

National Medical Research Center for Children’s Health

Email: doctor@nczd.ru
ORCID iD: 0000-0002-2714-9134

Dr. Sci. (Med.), Chief

Russian Federation, Moscow

Maxim M. Lokhmatov

National Medical Research Center for Children’s Health

Email: lokhmatov@mail.ru
ORCID iD: 0000-0002-8305-7592

Dr. Sci. (Med.), Head of department of Endoscopic Researches

Russian Federation, Moscow

Yuri Yu. Rusetsky

National Medical Research Center for Children’s Health; I.M. Sechenov First Moscow State Medical University (Sechenov University)

Email: Rusetski@inbox.ru
ORCID iD: 0000-0001-5574-8292

Dr. Sci. (Med.), Professor of the department of ear, throat and nose diseases; Head of ENT department with head and neck surgery

Russian Federation, Moscow

Sergey P. Yatsyk

National Medical Research Center for Children’s Health

Email: yatsyk@nczd.ru
ORCID iD: 0000-0002-8876-6232

Dr. Sci. (Med.), Professor, Correspondig Member of RAS, Head of the Institute of Pediatric Surgery

Russian Federation, Moscow

Ekaterina A. Romanova

National Medical Research Center for Children’s Health

Email: Bnmg13@yandex.ru
ORCID iD: 0000-0002-2968-8887

Cand. Sci. (Med.), Surgeon of department of Thoracic Surgery

Russian Federation, Moscow

Sergey A. Ratnikov

National Medical Research Center for Children’s Health

Email: 6193141@gmail.com
ORCID iD: 0000-0003-2082-3998

Surgeon of department of Thoracic Surgery

Russian Federation, Moscow

Elena I. Komina

National Medical Research Center for Children’s Health

Author for correspondence.
Email: kominaalena@gmail.com
ORCID iD: 0000-0002-9808-8682

Surgeon of department of Thoracic Surgery

Russian Federation, Moscow

References

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Supplementary files

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1. JATS XML
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2. Fig. 1. Fiber optic laryngoscopy. Cysts of the infraglottic space of the larynx, overlapping the lumen by 70%–75%

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3. Fig. 2. Computed tomography. Narrowing of the larynx lumen (indicated by the arrow)

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4. Fig. 3. Fiber optic laryngoscopy of patient S. three weeks after laser vaporization of the cyst of the left laryngeal wall and puncture, opening the cyst of the right wall. Relapse. Laryngeal cysts of no more than 2–3 mm in size are visualized

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5. Fig. 4. Fiber optic laryngoscopy. The infraglottic larynx after laser vaporization of the cysts

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6. Fig. 5. Fiber optic laryngoscopy of patient S. after six months. The laryngeal lumen is satisfactory

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