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Stephen P. Smith, MB, BS; Robert G. Berkowitz, MB, BS, FRACS; Peter D. Phelan, MD, FRACP

Arch Otolaryngol Head Neck Surg. 1994;120(9):921-924.

Abstract
Objective
To evaluate the presentation and treatment of infants with acquired subglottic cysts.

Design
Case series seen over 12 years.

Setting
Academic tertiary referral pediatric medical center.

Patients
Eleven patients had subglottic cysts diagnosed.

Intervention
Four patients were treated with rupture with the tip of the endoscope. Seven patients underwent endoscopic marsupialization by means of carbon dioxide laser (n=5) and by cup forceps (n=2).

Outcome Measures
Intraoperative cyst control. Symptomatic cyst recurrence.

Results
Initial cyst management was successful in all cases. There was one symptomatic recurrence in a patient who was managed with cyst rupture. There were no symptomatic recurrences in the group treated by marsupialization. The mean follow-up period was 6 years.

Conclusions
Subglottic cysts should be considered in the ex-premature infant with a history of neonatal intubation who presents with stridor or respiratory difficulty. These ductal retention cysts can develop after periods of intubation of less than 24 hours. Endoscopic marsupialization is the recommended form of treatment.

(Arch Otolaryngol Head Neck Surg. 1994;120:921-924)

Author Affiliations
From the Departments of Otolaryngology (Drs Smith and Berkowitz) and Pediatrics (Dr Phelan), Royal Children's Hospital, Melbourne, Australia.

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