Vallecular Cyst: Diverse Clinical Presentation and Airway Management Techniques – A Case Series

Vallecular Cysts (VC) are laryngeal cysts found most frequently at true vocal cords followed by epiglottis and vallecula, which develops due to obstruction of the submucosal gland. In children, they present with stridor, respiratory distress, feeding difficulty, failure to thrive or as an incidental...

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Published inOnline journal of anaesthesia Vol. 14; no. 10; pp. 1 - 5
Main Authors Jui Lagoo, Bindu George, Pratibha CB, Balasubramanya AM
Format Journal Article
LanguageEnglish
Published Wolters Kluwer Medknow Publications 01.08.2013
Subjects
airway obstruction
cyst aspiration
inhalational induction
McCoy’s blade
paraglossal laryngoscopy
vallecular cyst
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Summary:Vallecular Cysts (VC) are laryngeal cysts found most frequently at true vocal cords followed by epiglottis and vallecula, which develops due to obstruction of the submucosal gland. In children, they present with stridor, respiratory distress, feeding difficulty, failure to thrive or as an incidental finding on laryngoscopy. The anaesthesiologist can face the risk of obstructed breathing during mask holding, obscured laryngeal view, loss of airway, rupture of cyst and potential aspiration of cyst contents. Various techniques of airway management have been described in literature. We report a series of three cases with VC where we managed the airway successfully. We also discuss the relevant literature review.
ISSN:0973-0311
0973-0311