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

Abdumanap B. Alkhasov; Elena Yu. Dyakonova; Maxim M. Lokhmatov; Yuri Yu. Rusetsky; Sergey P. Yatsyk; Ekaterina A. Romanova; Sergey A. Ratnikov; Elena I. Komina

doi:10.17816/psaic638

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2020, Vol. 10 ›› Issue (2) : 193 -198. DOI: 10.17816/psaic638

Case reports

research-article

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

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National Medical Research Center for Children’s Health

Pirogov Russian National Research Medical University

I.M. Sechenov First Moscow State Medical University (Sechenov University)

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

Dr. Sci. (Med.), Chief

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

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

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

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

Surgeon of department of Thoracic Surgery

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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.

Keywords

laryngeal cysts / laryngeal stenosis / bronchoscopy / laser vaporization / endoscopic technologies / children

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Abdumanap B. Alkhasov, Elena Yu. Dyakonova, Maxim M. Lokhmatov, Yuri Yu. Rusetsky, Sergey P. Yatsyk, Ekaterina A. Romanova, Sergey A. Ratnikov, Elena I. Komina. Endoscopic technologies in treatment 7-month-old child with multiple laryngeal cysts. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 2020, 10(2): 193-198 DOI:10.17816/psaic638

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