Subglottic cysts and asymmetrical subglottic narrowing on neck radiograph.

Abstract:

:The congenital subglottic hemangioma typically appears as an asymmetric subglottic narrowing or mass on frontal neck radiographs. Therefore, soft tissue neck radiography has been advocated as a definitive non-operative approach for diagnosing these lesions. However, we have noted similar asymmetric subglottic narrowing in patients with acquired subglottic cysts. These retention cysts occur following long-term intubation in the neonate. The mechanism probably involves subglottic fibrosis which obstructs glands with subsequent cyst formation. Acquired subglottic cysts typically appear as an asymmetric narrowing on frontal or lateral soft tissue neck radiographs. These lesions may produce airway compromise but are effectively treated by forceps or laser removal. Acquired subglottic cysts must be included in the differential diagnosis of asymmetric subglottic narrowing. The definitive diagnosis is made by direct laryngoscopy, not soft tissue neck radiograph.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Holinger LD,Toriumi DM,Anandappa EC

doi

10.1007/BF02388997

subject

Has Abstract

pub_date

1988-01-01 00:00:00

pages

306-8

issue

4

eissn

0301-0449

issn

1432-1998

journal_volume

18

pub_type

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