Dificultad respiratoria y estridor en un lactante de 1 mes por un quiste sacular laríngeono todo es laringomalacia
- C. Alfaro Iznaola
- N.I. Rodríguez Lorenzo
- M.A. Zafra Anta
- M.A. Villafruela Sanz
- J.J. Álvarez López
- Gloria Tejero-Garcés Galve
ISSN: 0001-6640
Any de publicació: 2018
Volum: 76
Número: 7-8
Pàgines: 109-112
Tipus: Article
Altres publicacions en: Acta pediátrica española
Resum
Introduction: Laryngomalacia is the most common congenital anomaly of the larynx and is also called congenital laryngeal stridor. A less common aetiology of stridor in newborns and infants are laryngocele, congenital laryngeal saccular cyst, hemangiomas, and others congenital anomalies of the larynx. Case report: A 41-days old female presented with progressive stridor, history of postural component of significant worsening, apneas, and feeding difficulty. In the urgent consultation with ENT, flexible fiberoptic laryngoscopy showed a swelling of the left arytenoepiglotic fold. The diagnosis was confirmed at tertiary referral hospital by a cervical CT scan and direct laryngoscopy. The surgical procedure consisted of an incision in the cyst and marsupialization. The histopathological study ruled out malignancy and confirmed the suspected diagnosis. She presented a good postoperative evolution. Conclusion: The high index of suspicion in the congenital anomalies of the larynx is of great importance to make an early diagnosis and decrease morbidity and mortality. The saccular congenital cyst is an unusual lesion. Although rare, it should be included in the differential diagnosis of stridor and progressive obstruction of the airway in neonates and infants.