IMAGES IN NEONATAL MEDICINE
Congenital subglottic cyst in a term neonate
1 Department of Pediatrics, Division of Neonatology, The Children’s Hospital of Philadelphia, Philadelphia, USA
2 Department of Surgery, Division of Otolaryngology, The Children’s Hospital of Philadelphia, Philadelphia, USA
Correspondence to:
Kelly Wade, Division of Neonatology, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA; kelly.wade@uphs.upenn.edu
Accepted 2 March 2009
| The first 150 words of the full text of this article appear below. |
A full-term infant born via vaginal delivery developed inspiratory stridor shortly after birth. Routine resuscitation was performed at delivery without the need for intubation. He received supplemental oxygen for 1 day. His chest x ray, airway fluoroscopy, contrast oesophagram and echocardiogram were unremarkable. Laryngoscopy and bronchoscopy revealed a large left antero-laterally based subglottic cyst obstructing 95% of the airway (figs 1A,B). The remainder of the airway appeared normal. The infant tolerated a transoral, endoscopic excision of the cyst. The cyst appeared to originate from a defect of the cricoid cartilage. Figure 1C reveals the post-surgical view of the airway. He successfully extubated on the morning following the surgery. A follow-up bronchoscopy 1 week and 3 months post-operatively revealed a normal airway with no evidence of recurrence (fig 1D).
Figure 1 Congenital subglottic cyst. (A) View of large subglottic cyst just beneath the vocal cords. (B) Close-up view of | |||||||||
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