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Year : 2011  |  Volume : 1  |  Issue : 1  |  Page : 27-29

Congenital vallecular cyst with laryngomalacia: A report of two cases

1 Department of Laryngology, Deenanath Mangeshkar Hospital, Pune, India
2 Department of Laryngology, Deenanath Mangeshkar Hospital, Pune; Department of ENT, Karnataka Institute of Medical Sciences, Hubli, India
3 Department of Laryngology, Bharati VidyaPeeth Medical College, Pune, India

Correspondence Address:
Sachin Gandhi
Department of Laryngology, Deenanath Mangeshkar Hospital, Pune, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-9748.76134

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Vallecular cyst in an infant is uncommon, and it finds infrequent mention in the literature as well. However when present, it accounts for severe inspiratory stridor, causing airway compromise, and sometimes even death. Laryngomalacia is the commonest congenital anomaly of the larynx, which is present after birth giving rise to inspiratory stridor. Laryngomalacia results as a collapse of supraglottic structures of the larynx. Clinical co-presentation of vallecular cyst and laryngomalacia is very rare. This is a report of two cases of 2-month-old infants who presented with the history of noisy breathing and refusal to feeds since 10-15 days. CT scan of the neck revealed a huge cyst in the vallecula compromising the airway. Microlaryngoscopic-guided aspiration and marsupilization of the cyst was done using CO 2 laser and the release of aryepiglottic fold was done using microlaryngeal scissors. Respiratory and feeding problems dramatically improved in these patients by immediate surgical intervention.

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