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Varied Clinical Presentation and Management of Paediatric Vallecular Cyst

Jyoti Singh1, Neha Jain1, Mamta Jajoo2

  • 1Departments of Ear, Nose & Throat.

Sultan Qaboos University Medical Journal
|December 10, 2021
PubMed

Insights

Vallecular cysts, rare in children, cause respiratory and feeding issues. Transoral excision is a safe and effective treatment, with no observed recurrences in this study.

Area of Science:

  • Pediatric Otolaryngology
  • Congenital Anomalies

Background:

  • Vallecular cysts are rare congenital anomalies affecting the airway.
  • They can present with significant respiratory distress and feeding difficulties in infants and children.

Observation:

  • This study retrospectively reviewed three pediatric cases of vallecular cysts diagnosed between 2018-2019.
  • All patients presented with respiratory and feeding challenges.
  • Diagnosis was confirmed via laryngoscopy and imaging.

Findings:

  • Transoral cyst excision using cold instruments was performed on all three patients.
  • The postoperative period was uneventful for all cases.
  • Long-term follow-up revealed no recurrence of the vallecular cysts.

Implications:

  • Vallecular cysts should be considered in the differential diagnosis of pediatric respiratory distress and dysphagia.
  • The transoral approach for cyst excision is a safe, reliable, and effective surgical method.
  • This approach offers a low risk of recurrence for vallecular cysts.

Keywords:
Benign CystCase ReportDysphagiaDyspneaIndiaLaryngoscopy

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