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Updated: Oct 8, 2025
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
269
[Laryngeal cysts in children]
L B Kuranova1, Yu L Soldatskiy2, P V Pavlov1
1St. Petersburg State Pediatric Medical University, St. Petersburg, Russia.
Vestnik Otorinolaringologii
|December 29, 2021
Summary
Pediatric laryngeal cysts, though rare, often present with airway obstruction. Surgical resection of cyst walls is crucial for successful treatment and preventing recurrence in children.
Area of Science:
- Pediatric Otorhinolaryngology
- Congenital Malformations
- Laryngeal Pathology
Background:
- Laryngeal cysts are uncommon congenital malformations in children, ranking 4th-5th in prevalence.
- This study combines data from two Russian pediatric otorhinolaryngology clinics.
Purpose of the Study:
- To analyze the clinical presentation, diagnostic methods, and treatment strategies for laryngeal cysts in pediatric patients.
- To identify key features and outcomes associated with laryngeal cyst management in children.
Main Methods:
- Retrospective analysis of 68 children (3 days to 16 years) with laryngeal cysts.
- Cyst localization: vestibular (22.1%), vocal (22.1%), sub-vocal (55.9%).
- Tracheal intubation history noted in 89.7% of cases; 11 patients had prior tracheostomy.
Main Results:
- Primary symptoms included laryngeal stenosis (60.3%), dysphonia (33.8%), and incidental findings (5.9%).
- Treatment involved laser marsupialization (10 patients), coagulatory ablation (2 patients), and microinstrument decortication with laser treatment (56 patients).
- No cyst recurrence observed during follow-up (6 months to 7 years).
Conclusions:
- The sub-vocal region is the most common site for laryngeal cysts in children.
- Sub-glottic cysts are frequently observed in preterm infants requiring tracheal intubation.
- Complete resection of cyst walls is essential for radical elimination and preventing recurrence.
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