Abstract
Laryngeal cyst causing neonatal airway obstruction during labor is a very rare condition [1]. Congenital laryngeal cysts are a rare cause of neonatal airway obstruction. Traditionally, these cysts have been treated surgically by endoscopic excision or marsupialization. However, the cyst often extends beyond the larynx. We describe a case of a newborn that, during delivery, became cyanotic due to airway obstruction and respiratory distress. To the best of our knowledge this is the first report of a saccular cyst obstructing airway during birth prior to intubation. The immediate and late treatments together with a literature review are described.
Highlights
A newborn girl was delivered by caesarian section at age 33 weeks and developed marked respiratory distress
Congenital laryngeal cysts are a rare cause of neonatal airway obstruction
We describe a case of a newborn that, during delivery, became cyanotic due to airway obstruction and respiratory distress
Summary
A newborn girl was delivered by caesarian section at age 33 weeks and developed marked respiratory distress. She became cyanotic with airway obstruction in the operating room, immediately after birth. During intubation laryngoscopy, performed by a senior anesthetist, a large hypopharyngeal obstructing mass was noted in the supraglottic region. The newborn was evaluated by endoscopic fiberoptic laryngoscopy (Figure 1), which showed a cystic supraglottic laryngeal mass that was a large laryngeal cyst compressing the airway inlet and the laryngeal tube, originating from the right side. MRI was performed (Figure 2), which showed a cystic lesion consistent with right lateral saccular laryngeal cyst as well as the airway displacement. A diagnosis of saccular laryngeal cyst was made and the newborn was scheduled for endoscopic removal of the cyst
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