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Congenital tongue base cyst presenting with laryngeal stridor in youth: a case report

Zouheir Zaki1, Naouar Ouattassi, Noureddine Alami

  • 1ENT Head and Neck Surgery Department, Hassan II University Hospital, 30000 Road Sidi Hrazem, BP 1893 Fez, Morocco.

Case Reports in Otolaryngology
|September 7, 2012
PubMed

Insights

Congenital tongue base cysts can cause infant stridor. Marsupialization with a CO2 laser offers a successful treatment, preventing recurrence in infants.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Otolaryngology

Background:

  • Tongue base cysts are rare but can cause significant airway obstruction in infants.
  • Congenital tongue base cysts present a diagnostic challenge in neonates with respiratory distress.

Purpose of the Study:

  • To report a case of congenital tongue base cyst in an infant.
  • To highlight the diagnostic and therapeutic approach for this condition.

Main Methods:

  • Diagnosis was suspected via endoscopy and confirmed with MRI imaging.
  • Surgical marsupialization of the cyst was performed using CO2 laser under general anesthesia.

Main Results:

  • The infant presented with inspiratory stridor and recurrent respiratory distress.
  • Following marsupialization, the child remained asymptomatic with no cyst recurrence at one-year follow-up.

Conclusions:

  • Tongue base cysts should be included in the differential diagnosis for neonatal stridor and respiratory issues.
  • Surgical marsupialization is an effective definitive treatment for congenital tongue base cysts.

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