TREATMENT OF LARYNGEAL CYSTS IN CHILDREN

*Lidia Zawadzka-Głos¹, Magdalena Fršckiewicz¹, Michał Brzewski², Agnieszka Biejat², Mieczysław Chmielik¹

Summary
Objective.Cysts of the larynx in children are a rare cause of upper airway obstruction which may lead to serious morbidity and mortality if diagnosis and treatment are delayed.
Aim. We report the experience of the Department of Paediatric Otolaryngology of the Medical University of Warsaw, over a nine-year period from 2000 to 2009, during which twelve children with laryngeal cysts were treated.
Methods. We performed a retrospective analysis of treatment of laryngeal cysts in twelve children. Marsupialization procedures were the mainstay of treatment in this department, all carried out endoscopically by laryngeal knife and cupped forceps. We used the external approach in two children. Results: No cyst recurred more than once with endoscopic technique. We did not observe a recurrence after the external approach.
Conclusions. All children with stridor require investigation. Early endoscopic marsupialization of the laryngeal cyst is the recommended form of treatment. Nevertheless, as ventricular cysts may be deep and extensive and difficult to remove endoscopically, an external approach may still be indicated in individual cases.

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