gms | German Medical Science

82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

01.06. - 05.06.2011, Freiburg

Surgical management of 25 cases of congenital laryngeal cysts

Meeting Abstract

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  • corresponding author Zhinan Wang - Wuhan Children's Hospital, Wuhan, Volksrepublik China
  • Zhongqiang Xu - Wuhan Children's Hospital, Wuhan, Volksrepublik China
  • Ping Chen - Wuhan Children's Hospital, Wuhan, Volksrepublik China

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod072

DOI: 10.3205/11hnod072, URN: urn:nbn:de:0183-11hnod0724

Veröffentlicht: 19. April 2011

© 2011 Wang et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: Classfication and preoperative estimate of 25 cases of congenital laryngeal cysts. Method: Laryngoscope and imaging (CT or MRI) were necessary.

Result: Chief complaint included: 8 cases of dysphagia, 6 cases of dyspnoea, 6 cases of laryngeal stridor, 3 cases of neck mass,1 case of hoarseness, and 1 case of snoring. Classfication included: 24 cases of cysts were confined to the larynx, 1 case was beyond the larynx.

Surgical management included: one case need a tracheotomy immediately, 17 cases need aspiration and drainage for cysts to relieve symptoms under direct laryngoscope. 24 cases had endoscopic excision under general anesthesia( one case by Dynamic Cutting System and 3 cases by cold ablation surgery ), one case had an excision through external carotid approaches. No recurrence were found after 1 to 4 years follow-up.

Conclusion: It is key to relieve dyspnoea immediately. Surgical management were chosen after classification and preoperative estimate,avoiding unnecessary opening surgical approaches .cyst recurrence, and repeated endoscopic treatment or tracheotomy should be prevented.