title: Transoral approach for direct and complete excision of vallecular cysts in children.
abstract: OBJECTIVE
  To review the presentation, evaluation, and treatment of children with vallecular cysts and introduce a new technique of transoral excision for this entity.
  
  
  METHODS
  Retrospective case series of children diagnosed with vallecular cyst between 2001 and 2008 at a single tertiary care children's hospital. Data collected, including age at diagnosis, presenting symptoms, additional diagnoses, diagnostic modality, prior and subsequent surgical therapy, length of hospital stay, length of follow-up, and recurrence were analyzed with descriptive statistics.
  
  
  RESULTS
  Seven children (mean age 198 days, range 2 days to 2.9 years) were included in this series. Five children presented with respiratory distress and/or swallowing difficulties. Vallecular cyst was diagnosed by initial flexible fiberoptic laryngoscopy (5/7), MRI (1/7), and intubating laryngoscopy (1/7). All children underwent complete cyst excision via transoral surgical approach. Two children underwent additional supraglottoplasty for concomitant laryngomalacia, one of whom underwent tracheotomy for persistent respiratory distress and vocal cord immobility. The average length of hospital stay postoperatively was 9.5 days, and four patients stayed less than 2 days. No patients experienced recurrence of the vallecular cyst at last follow-up (range 4-755 days, mean 233 days).
  
  
  CONCLUSIONS
  Vallecular cysts are rare but should be considered in children with respiratory distress and dysphagia. Awake, flexible fiberoptic laryngoscopy with particular attention to the vallecular region should be performed on any child presenting with these symptoms. Direct, transoral approach for excision of the vallecular cyst is our preferred method of treatment with no recurrences to date.
authors.affiliation: Division of Pediatric Otolaryngology, Section of Otolaryngology, Department of Surgery, Children's Hospital at Dartmouth, Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States.
authors.forename: Eunice Y
authors.initials: EY
authors.lastname: Chen
authors.forename: Jae
authors.initials: J
authors.lastname: Lim
authors.forename: Emily F
authors.initials: EF
authors.lastname: Boss
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Inglis
authors.forename: Henry
authors.initials: H
authors.lastname: Ou
authors.forename: Kathleen C Y
authors.initials: KC
authors.lastname: Sie
authors.forename: Scott C
authors.initials: SC
authors.lastname: Manning
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Perkins
mesh_terms: D002675:Child, Preschool; D015331:Cohort Studies; D003560:Cysts / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D004825:Epiglottis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D055092:Laryngomalacia / Q000151:congenital / Q000175:diagnosis; D007828:Laryngoscopy / Q000379:methods*; D008297:Male; D010608:Pharyngeal Diseases / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D035583:Rare Diseases; D012135:Respiratory Sounds / Q000175:diagnosis / Q000209:etiology; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome