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Afull term male neonate presented with stridor and respiratory distress minutes after birth. Life saving intubation was achieved by the attending paediatrician who noted a mass at the base of the tongue. Microlaryngoscopy under general anaesthesia confirmed the congenital epiglottic cyst (fig 1) which was curatively excised.

Endoscopic view of an epiglottic cyst at suspension laryngoscopy with endotracheal tube in situ. 1, Epiglottic cyst; 2, epiglottis; 3, tongue base displaced to the right side by the laryngoscope.
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