Laryngeal cystic hygroma

Area of Science:

• Otolaryngology
• Head and Neck Surgery
• Pediatric Surgery

Background:

• Cervical cystic hygromas are congenital lymphatic malformations.
• Laryngeal extension is rare and can cause significant airway compromise.

Observation:

• A patient presented with acute upper airway obstruction 18 years after initial cervical surgery.
• The obstruction was due to a laryngeal lesion secondary to recurrent cystic hygroma.

Findings:

• The patient required a partial laryngectomy to maintain an adequate airway.
• Recurrent disease necessitated repeated endoscopic procedures for management.

Implications:

• This case highlights the potential for late recurrence and airway issues in cervical cystic hygromas.
• Management requires a multidisciplinary approach and long-term follow-up.