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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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[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.

Keywords:

childhood clinical symptoms diagnosis laryngeal cyst sub-lining cyst treatment

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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.