Neonatal laryngoceles. A cause for airway obstruction.
The neonatal laryngocele is a congenital pathologic entity originating in the saccule of the laryngeal ventricle. This entity may present as an uncommon cause of neonatal airway obstruction. We present two cases of this condition and the management undertaken. Both patients demonstrated significant airway distress. Evaluation of each patient included either plain x-ray films of the neck, ultrasound, or computed tomography of the neck. A cystic mass, containing air and fluid, was identified causing external compression of the airway in each case. Surgical intervention required airway endoscopy and an external approach to excise the mass. Tracheotomy was avoided in both cases; however, one infant required further surgery for laryngomalacia. Both children have done well in follow-up.
Chu
L
L
Division of Otolaryngology-Head and Neck Surgery, Emory University School of Medicine, Atlanta, Ga.
Gussack
G S
GS
Orr
J B
JB
Hood
D
D
D000402:Airway Obstruction / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D007830:Larynx / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed