Difficulties in diagnosis of laryngeal cysts in children.
BACKGROUND
In larynx cysts may be localized in different regions: glottis, laryngeal pouch, epiglottis, aryepiglottic folds and subglottic area. It is difficult to estimate if the cyst is acquired or congenital. Symptoms of laryngeal cyst depend on the size and localization of the cyst and include: change in the tone of voice, dysphonia, hoarseness, dysphagia, laryngeal stridor and dyspnoea. Cysts of the larynx in infants are rare but the treatment is easy once the diagnosis is made. If mismanaged, the resulting respiratory obstruction can lead to serious complications.


OBJECTIVE
Analysis of cases of laryngeal cyst in children treated in the Department of Paediatric ENT Medical University of Warsaw.


METHODS
A retrospective analysis of 10 cases of laryngeal cyst in children treated in the Department of Paediatric ENT in Warsaw between 2000 and 2008 was made.


RESULTS
The authors analyzed indications to directoscopy, endoscopic presentation, problems with establishing the right diagnosis and management.


CONCLUSIONS
Using a direct laryngoscopy as a golden standard in children with stridor will reduce a number of false diagnosis.
Department of Paediatric Otorhinolaryngology, Medical University of Warsaw, Poland. zawadzkaglos@poczta.onet.pl
Lidia
L
Zawadzka-Glos
Magdalena
M
Frackiewicz
Michal
M
Brzewski
Agnieszka
A
Biejat
Mieczysław
M
Chmielik
D002675:Child, Preschool; D015331:Cohort Studies; D003560:Cysts / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D004825:Epiglottis / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007818:Laryngeal Diseases / Q000151:congenital / Q000175:diagnosis* / Q000601:surgery; D007828:Laryngoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012135:Respiratory Sounds / Q000175:diagnosis / Q000209:etiology; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome