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Management of pediatric subglottic cysts using the Bugbee fulgurating electrode
Matthew A Richardson1, Tyler W Winford2, Byron K Norris3
1Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson.
JAMA Otolaryngology-- Head & Neck Surgery
|December 21, 2013
Summary
Subglottic cysts cause pediatric airway obstruction. Treatment with the Bugbee diathermy electrode effectively manages these cysts, significantly reducing recurrence rates compared to historical data.
Area of Science:
- Pediatric Otolaryngology
- Airway Management
- Congenital Anomalies
Background:
- Subglottic cysts are a significant cause of airway obstruction in children.
- Historical recurrence rates for subglottic cysts range widely from 12.5% to 71.0%.
Purpose of the Study:
- To describe the presentation and management of pediatric subglottic cysts.
- To evaluate the efficacy of the Bugbee fulgurating diathermy electrode for cyst treatment.
- To report recurrence rates associated with this treatment modality.
Main Methods:
- Retrospective review of 16 pediatric patients treated for subglottic cysts.
- Analysis of patient demographics, presenting symptoms, cyst characteristics, and treatment outcomes.
- Focus on outcomes using the Bugbee fulgurating diathermy electrode.
Main Results:
- The study included 16 patients with a mean gestational age of 26.9 weeks; all had prior intubations.
- Biphasic stridor was the most common symptom, presenting a mean of 7.3 months post-extubation.
- Symptomatic recurrence was low at 6%, with no major complications reported. Associated laryngeal pathology was present in 56% of patients.
Conclusions:
- The Bugbee fulgurating diathermy electrode offers a safe and effective treatment for subglottic cysts.
- This technique achieves a significantly lower symptomatic recurrence rate than previously reported.
- The findings support the use of this method for managing pediatric subglottic cysts.
