Cisto sacular congênito da laringe O cisto sacular da laringe é uma das causas de estridor laríngeo no recém-nascido, sendo diagnóstico diferencial de . Quiste sacular congénito de laringe: reporte de un caso y revisión de la literatura. sacular laríngeo congénito y su tratamiento mediante abordaje endoscópico y . Cuestas G. Quiste sacular congénito de laringe: una causa rara de estridor. TRAQUEOMALACIA Debilidad de las paredes de la tráquea obstrucción de vía aérea con la inspiración. LARINGOMALACIA CLÍNICA.

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Endoscopic findings in children with stridor

Congenital laryngeal saccular cyst: Int J Pediatr Otorhinolaryngol Extra. To review the literature and report a vongenito of congenital laryngeal saccular cyst, as well as its treatment by endoscopic approach and radiofrequency, which is most easily found in our country.

Dias II ; Emanuel C. The definitive management, as stated in the literature, is microlaryngoscopy, since most reports and case series use CO 2 laser for vongenito resection 3,19, Ann Otol Rhinol Laryngol.

Martins I ; Norimar H.

The excision of the cyst by microlaryngoscopy and external approach are the treatments with the highest success rates according to the literature. Rev Bras Anestesiol ; Cingenito postoperative control was performed after a year using nasofibrolaryngoscopy without new surgical interventions, no recurrence of the cyst, and adequate epithelization and laryngeal development.

Paediatr Respir Rev ;5: Contrast coronal CT scan of the neck showing a cystic lesion extending from the piriform sinus to the trachea with congwnito significant decrease in the caliber of the airway. Int J Pediatr Otorhinolaryngol. Respiratory distress was observed, which required supplementary oxygen as first measure, soon moving to non-invasive mechanical ventilation without improvement, and ending with orotracheal intubation. The search for the second lesion.

Para Rocha et al. The sac is a diverticular structure that lies between the ventricular bands congenit the vocal cords, projects vertically upward between the base of the epiglottis and the medial portion of the thyroid cartilage, and contains a stratified and cylindrical pseudostratified squamous epithelium with large numbers of mucous glands, which are believed to be used for the lubrication of the vocal cords 10,4.


The saccular cyst consists of a dilation of the laryngeal ventricle clngenito with mucus that does not communicate with the laryngeal lumen 9. Diagnostic nasofibrolaryngoscopy was performed, finding a cystic-appearing lesion that occupied the right piriform sinus and obstructed the airway Figure 1. Pre-surgical findings included a cystic lesion that compromised the right aryepiglottic fold and extended to the posterior ipsilateral cricopharyngeal region —rejected by the right ventricular band until the laryngeal ventricle—, healthy vocal cords and free subglottis.

Other symptoms depend on the size of the lesion and its location; for example, dysphagia may occur if the cyst occupies the hypopharynx 12 or if there is progressive respiratory distress until total airway obstruction, cyanosis, apnea, hoarse cry and low-pitched cry, especially with changes of position or agitation. Saccular Cyst of Larynx. Based on the findings, congenital laryngeal saccular cyst was diagnosed.

Case reports

Understanding this disease is high ly important to achieve proper diagnosis and provide treatment using congeniito resources avail able in our country, such as radiofre quency. Arch Otolaryngol Head Neck Surg ; This obstruction can be caused by the abnormal migration of the tissue from the fourth branchial arch generating the cystic formation 14 or by the isolation of the cells of the eestridor due to the abnormal migration of mesenchymal cells through persistent fetal vessels in the larynx.

Radiofrequency ablation of laryngeal saccular cyst in infants: Since this is a very rare pathology and there is no exact data on its incidence, although some authors state that it is 1. The effect of aryepiglottoplasty for laryngomalacia on gastroesophageal reflux.


Microlaryngoscopy A Immediate postoperative period after marsupialization and resection of saccular cyst. Cogenital laryngeal stridor laryngomalacia: Laryngocele and Lagingeo Cysts.

Artigo aceito em 8 de junho de Of all the articles reviewed, only the series by Kumar et al. Glottic and subglottic stenosis. Services on Demand Journal.

Ann Otol Rhinol Laringol ; Suppl Ear Nose Throat J. Three case studies and review of the literature. Nasofibrolaryngoscopy with cystic image on the right aryepiglottic fold, extended towards the ipsilateral piriform sinus and laryngeal ventricle. Stridor in a newborn caused by a congenital laryngeal saccular cyst.

The mucosa from the roof of the lesion was cauterized, the capsule incised, the cystic lesion resected at the superior level, and the dissection continued until achieving communication of the cystic cavity with an ipsilateral laryngeal ventricle ventriculostomy.

Arch Dis Childhood ; Ann Otol Rhinol Laringol ; Airway obstruction in a newborn due to a congenital laryngeal cyst. Arch Otolaryngol Head Neck Surg. Muitas delas provocam sintomas graves, indicando-se traqueotomia, como observado neste estudo. One of its causes, although rare, is congenital laryngeal saccular cyst 1 ; however, differential diagnoses include more frequent pathologies such as laryngomalacia, tracheomalacia, subglottic stenosis, vocal cord paralysis, laryngocele, laryngeal membrane, among others 2.

Prospective description of patients with congenital and acquired stridor in early infancy. It was possible to resect a laryngeal saccular cyst smaller than 3cm in a safe and effective manner through microlaryngoscopy and radiofrequency, despite the lack of case reports regarding the use of this method.

The etiology of this pathology is not clear since it can be congenital or acquired. T habet MH, Kotob H.