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Related Experiment Videos

Acquired subglottic cysts in preterm infants.

Liane B Johnson1, Michael J Rutter, Sally R Shott

  • 1Department of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.

The Journal of Otolaryngology
|August 4, 2005
PubMed
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Acquired subglottic cysts (SGCs) in preterm infants often develop months after intubation. Endoscopic diathermy is effective for treating SGCs and associated subglottic stenosis, reducing the need for invasive surgery.

Area of Science:

  • Pediatric Otolaryngology
  • Neonatal Intensive Care
  • Airway Management

Background:

  • Acquired subglottic cysts (SGCs) are a known complication following intubation in preterm infants.
  • These cysts can lead to significant airway distress.

Purpose of the Study:

  • To review the demographics and therapeutic outcomes of acquired subglottic cysts in preterm infants.
  • To evaluate the effectiveness of different treatment modalities.

Main Methods:

  • Retrospective case series of 11 preterm infants treated between 2001-2002.
  • Diagnosis confirmed via microlaryngoscopy and bronchoscopy.
  • Treatment included cyst marsupialization, excision, and endoscopic diathermy.

Main Results:

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  • All 11 patients had a history of prematurity and perinatal intubation.
  • Most patients became symptomatic months after extubation.
  • Subglottic stenosis was present in 10 of 11 patients.
  • Endoscopic diathermy for staged procedures proved highly effective.

Conclusions:

  • SGCs in preterm infants are linked to intubation and can manifest late.
  • Subglottic stenosis frequently coexists with SGCs.
  • Staged endoscopic diathermy is an effective, minimally invasive treatment option.