Clinical characteristics and treatment for laryngeal cyst in children: a case series study

Pei Zhou1, Lili Zhong1, Xiaofang Ding1

  • 1Children's Medical Center, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.

Frontiers in Surgery
|September 11, 2025
PubMed

Insights

Pediatric laryngeal cysts present with stridor and breathing difficulties. Endoscopic plasma or titanium laser ablation offers effective treatment with a low recurrence rate for these airway obstructions.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Airway Disorders
  • Surgical Case Series

Background:

  • Laryngeal cysts are rare congenital anomalies in children.
  • Symptoms can range from mild to life-threatening airway obstruction.
  • Accurate diagnosis and timely intervention are crucial for optimal outcomes.

Purpose of the Study:

  • To present a case series of pediatric laryngeal cysts.
  • To summarize clinical characteristics and treatment outcomes.
  • To evaluate the efficacy of different ablation techniques.

Main Methods:

  • Retrospective case series analysis of pediatric patients with laryngeal cysts.
  • Inclusion of clinical data including symptoms, cyst location, and treatment modality.
  • Follow-up assessment for symptom improvement and recurrence.

Main Results:

  • Twenty pediatric patients were included, with 15 diagnosed with supraglottic cysts.
  • Common symptoms included stridor (80%), shortness of breath (75%), and coughing (60%).
  • Endoscopic plasma cyst ablation and bronchoscopic titanium laser ablation resulted in significant symptom improvement and a 90% non-recurrence rate at 2-36 months.

Conclusions:

  • Bronchoscopy is recommended for children with specific respiratory symptoms suggestive of laryngeal cysts.
  • Treatment selection (plasma vs. laser ablation) should be based on cyst location and type.
  • Both ablation techniques demonstrate high efficacy and low recurrence rates in pediatric laryngeal cysts.
Abstract

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