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A Case of Life-Threatening Stridor: Vallecular Cyst in a 2-Month-Old Infant

Abdur Rehman1, Sibgha Fawad Memon2, Muhammad Saad Anwaar3

  • 1Saidu Medical College Swat Pakistan.

Clinical Case Reports
|January 12, 2026
PubMed

Insights

Vallecular cysts are rare infant airway obstructions. Early diagnosis and management are crucial to prevent severe respiratory distress and complications, as demonstrated in this challenging transfer case.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Otolaryngology

Background:

  • Vallecular cysts are uncommon congenital airway anomalies.
  • These cysts can cause significant respiratory distress in infants.
  • Delayed diagnosis can lead to severe clinical consequences.

Purpose of the Study:

  • To highlight the diagnostic and management challenges of infantile vallecular cysts in resource-limited settings.
  • To emphasize the importance of early detection and intervention for vallecular cysts.
  • To present a case study of a transfer infant with a large vallecular cyst.

Main Methods:

  • Case report of a 2-month-old female infant with progressive respiratory symptoms.
  • Diagnostic procedures included direct laryngoscopy.
  • Management involved emergency tracheostomy and complete cyst excision.
  • Microbiological investigations identified bacterial pathogens.

Main Results:

  • Direct laryngoscopy revealed a large vallecular cyst causing airway compression.
  • The infant required emergency tracheostomy.
  • Post-excision, the infant was treated for Methicillin-resistant Staphylococcus epidermidis (MRSE) and extensively drug-resistant (XDR) Acinetobacter infections.

Conclusions:

  • Vallecular cysts pose significant diagnostic and management challenges, particularly in transfer cases with limited resources.
  • Prompt recognition and surgical intervention are vital for favorable outcomes.
  • Multidrug-resistant infections can complicate the postoperative course.

Keywords:
laryngoscopymultidisciplinary interventionrespiratory distressstridor in infantssurgical excisionvallecular cyst

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