Difficulties in diagnosis of laryngeal cysts in children

Abstract

Introduction 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. Materials and 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.