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A Rare Cause of Upper Airway Obstruction in a Child

H Ahmed1, C Ndiaye1, M W Barry1

  • 1Department of Otolaryngology, Fann University Hospital, Cheikh Anta Diop University, Dakar, Senegal.

Case Reports in Otolaryngology
|July 12, 2017
PubMed

Insights

Ventricular band cysts are rare but can cause severe airway obstruction in children. Early diagnosis in stridor cases with prior intubation or respiratory infections is crucial for prompt intervention and improved outcomes.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Airway Disorders
  • Congenital Cystic Lesions

Background:

  • Ventricular band cysts are uncommon pediatric airway anomalies.
  • These cysts can lead to significant upper airway obstruction, laryngeal dyspnea, and potentially fatal outcomes.
  • Diagnosis should be suspected in children presenting with stridor, especially those with a history of intubation or respiratory infections.

Observation:

  • A 4-year-old girl presented with severe respiratory distress.
  • Emergency endoscopy revealed a large ventricular band cyst obstructing the airway.
  • The cyst was completely excised, and a prophylactic tracheotomy was performed postoperatively.

Findings:

  • Complete surgical excision of the ventricular band cyst was achieved.
  • The postoperative course was uneventful, with no complications.
  • Clinical and endoscopic signs of airway obstruction significantly improved after the procedure.

Implications:

  • This case highlights the importance of considering ventricular band cysts in the differential diagnosis of pediatric stridor.
  • Timely diagnosis and surgical intervention are critical for managing airway obstruction caused by these cysts.
  • Successful management can prevent severe respiratory compromise and improve patient prognosis.

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