Related Experiment Videos
Recurrent bronchogenic cyst causing recurrent laryngeal nerve palsy
1Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston 77030-4009, USA. drice@mdanderson.org
Summary
A recurrent laryngeal nerve palsy in a 50-year-old male was caused by a bronchogenic cyst. Complete surgical excision is crucial, as cyst aspiration is ineffective for preventing recurrence and complications.
Area of Science:
- Thoracic Surgery
- Neurology
- Pulmonology
Background:
- Bronchogenic cysts are congenital lung malformations.
- Recurrent laryngeal nerve palsy can arise from various thoracic pathologies.
- Nerve palsy is an uncommon complication of bronchogenic cysts.
Observation:
- A 50-year-old male presented with left recurrent laryngeal nerve palsy.
- The palsy was attributed to a recurrent bronchogenic cyst.
- Previous treatments included incomplete excision and percutaneous aspiration attempts.
Findings:
- The bronchogenic cyst recurred after initial incomplete surgical removal.
- Multiple percutaneous aspirations failed to resolve the cyst or palsy.
- This case underscores the link between bronchogenic cysts and recurrent laryngeal nerve palsy.
Implications:
- Complete surgical excision is essential for managing bronchogenic cysts effectively.
- Percutaneous aspiration is not a recommended treatment for bronchogenic cysts.
- Early and complete intervention can prevent neurological complications like nerve palsy.