Acquired subglottic cysts: management and long term outcome.

Abstract:

OBJECTIVES:To assess the diagnostic strategy, treatment and outcome of acquired subglottic cysts. MATERIALS AND METHODS:Retrospective, monocentric, tertiary referential center study of 172 preterm neonates assessed by endoscopic examination over a 10 years period. Identification of patients presenting with subglottic cysts. RESULTS:17 children were diagnosed with subglottic cysts. Among them, 98% were prematurates (28 ± 4 weeks of gestation), and 76% had a history of hyaline membrane disease or a bronchopulmonary dysplasia. All patients were intubated during the neonatal period, for a mean duration of 14 days. Mean age at diagnosis was 8 months. An associated laryngotracheal anomaly was diagnosed in 30% of cases. Six procedures, including flexible controls, were needed to achieve full recovery. We used cold steel microinstruments, CO(2) or Thulium LASER. Mean follow up was 3 years. CONCLUSIONS:Acquired subglottic cysts concern early preterm infants. Children treated for subglottic cysts should undergo a long term follow up, as there is a trend for cysts to recur, as well as a risk of secondary subglottic stenosis.

authors

Halimi C,Nevoux J,Denoyelle F,Garabedian EN,Leboulanger N

doi

10.1016/j.ijporl.2012.01.023

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

589-92

issue

4

eissn

0165-5876

issn

1872-8464

pii

S0165-5876(12)00053-5

journal_volume

76

pub_type

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