Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)

Vallecular CYST in Neonates: A Case Report

Authors
Raden Dimas Hardiana Putra1, Raden Ayu Hardianti Saputri1, Ongka Muhammad Saifuddin1, Mohammad Adithya Prawiranata1, *
1Otorhinolaryngology Head and Neck Surgery Department, Faculty of Medicine, Padjadjaran Universitas / Dr, Hasan Sadikin General Hospital, Bandung, Indonesia
*Corresponding author.
Corresponding Author
Mohammad Adithya Prawiranata
Available Online 31 October 2023.
DOI
10.2991/978-94-6463-280-4_15How to use a DOI?
Keywords
Cyst; extirpation; management; vallecular
ABSTRACT
Introduction

Congenital valvular cysts are rare and can present with acute airway obstruction with wheezing as a chief complaint in neonates and young children. In absent of early detection and appropriate treatment, airway obstruction can cause severe morbidity and mortality. Symptoms appear in most affected infants within the first week of life. Even with case reports in the literature, symptoms must be identified and recognized for early detection of congenital trough cysts.

Case report: A 12-days-old term male baby was referred from pediatric department to ENT department with chief complaint of shortness of breath. The patient always coughs when suckling milk, and vomits. The patient had marked inspiratory stridor with suprasternal and epigastrium retraction. At the oropharynx there was a rounded and translucent mass (cyst) found at oropharynx region with size 2x2x2 cm. Neck soft tissue X-ray examination revealed compressed air column, caused by opaque soft tissue density on the posterior part of the tongue, suggestive of a vallecular cyst. Chest x-ray examination on this patient shown bronchopneumonia bilateral. The patient diagnosed with upper airway obstruction grade 2 due to cyst at region vallecula with suspected aspiration pneumonia was made. The next examination for this patient was tracheotomy with local anaesthesia for securing airway and planning to do flexible layrngoscope. On flexible laryngoscope examination, it was revealed that cystic mass was found attached to the left side of the vallecula and epiglottis measuring 2x2x1 cm and the arytenoid cartilage was edema. We plan to do cyst extirpation approach microlaryngoscopy but it was delayed because of the restrictions on elective surgery, caused by pandemic Covid-19 situation, at Hasan Sadikin Hospital. After given maximum medicamentosa such as infusion of D5 NS 21 ml/hour, Cefotaxime 4 x 150 mg IV, Metronidazole 3 x 30 mg IV, Methylprednisolone 3 x 6 mg IV, Paracetamol 3 x 50 mg IV drip, the cyst was found reduced in size. The follow up treatment planning was cyst marsupialization but it was postponed due to good response during therapy.

Conclusion

Vallecular cysts are rare upper aerodigestive tract congenital diseases. A complete medical history, ENT examination, imaging, flexible laryngoscope, and clinical investigations are all recommended for diagnosis. Management therapy for vallecular cyst usually with aspiration and marsupialization. Antibiotics can be used for therapy but do not guarantee recurrence.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
Series
Advances in Health Sciences Research
Publication Date
31 October 2023
ISBN
978-94-6463-280-4
ISSN
2468-5739
DOI
10.2991/978-94-6463-280-4_15How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

TY  - CONF
AU  - Raden Dimas Hardiana Putra
AU  - Raden Ayu Hardianti Saputri
AU  - Ongka Muhammad Saifuddin
AU  - Mohammad Adithya Prawiranata
PY  - 2023
DA  - 2023/10/31
TI  - Vallecular CYST in Neonates: A Case Report
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 87
EP  - 91
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_15
DO  - 10.2991/978-94-6463-280-4_15
ID  - Putra2023
ER  -