Neonatal Vallecular Cyst: Unusual Presentation with Near Catastrophic Respiratory Distress and Successful Treatment Using Endoscopy-assisted Plasma Ablation: A Case Report

JOURNAL TITLE: Journal of Postgraduate Medicine, Education and Research

Author
1. Ramandeep Singh Virk
2. Anant Basotia
3. Vimmi Gautam
ISSN
2277-8969
DOI
10.5005/jp-journals-10028-1349
Volume
54
Issue
1
Publishing Year
2020
Pages
1
Author Affiliations
1. com.mps.common.model.Contributor@45fd72d3 ,
2. com.mps.common.model.Contributor@3fe37013 ,
3. com.mps.common.model.Contributor@1d2751a2
Article keywords
Endoscope, Plasma ablation, Vallecular cyst

Abstract

Congenital vallecular cyst is a rare benign laryngeal lesion which may cause stridor and life-threatening upper airway obstruction in infants. We present a case of a 4-week-old child who had respiratory distress since birth and was intubated on day 3 of life. On failure of repeated extubation trial, the child was evaluated by the otolaryngology team and a direct laryngoscopy was done which showed a cyst in the vallecula obscuring 90% of the oropharyngeal lumen. Computed tomography scan was ordered which showed a hypodense round lesion in the vallecula confirming the diagnosis. The child underwent endoscopic-assisted plasma ablation of the cyst and was successfully extubated the next day.

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