TREATMENT OF CONGENITAL LARYNGEAL CYSTS IN NEWBORNS/LIJECENJE PRIRODENIH CISTA GRKLJANA U NOVORODENCADI

Congenital laryngeal cysts are rare lesions that may occur in newborns, characterized by symptoms of respiratory obstruction and severe dyspnea. The aim of this study was to indicate optimal surgical treatment of congenital laryngeal cysts in newborns. We present a case series of five neonates treated for congenital laryngeal cysts during the 2011-2017 period at our pediatric tertiary care hospital. Patient age ranged from one day to 14 days. All patients had unilateral cysts. After surgical excision, burning of the walls of the cysts was performed by a CO2 laser. In one case, after four months, a recurrent cyst appeared, and re-operation was performed. Our relatively small case series indicates that symptoms such as stridor and labored breathing can occur already during the first days of life and potentially endanger the patient's life. Complete excision of the cyst and burning of its walls with CO2 laser leads to complete cure and prevent recurrence of the lesion. Key words: Cyst, congenital; Endoscopy; Larynx; Newborns Prirodene laringealne ciste rijetke su lezije koje se mogu pojaviti kod novorodencadi, a obiljezene su simptomima respiracijske opstrukcije i teskom dispnejom. Cilj ove studije bio je ukazati na optimalno kirursko lijecenje prirodenih cista na grkljanu kod novorodencadi. Predstavljamo seriju slucajeva od pet novorodencadi lijecenih zbog prirodene ciste grkljana tijekom razdoblja od 2011. do 2017. godine u nasoj djecjoj bolnici tercijarne skrbi. Najmladi bolesnik bio je jednodnevni, a najstariji 14 dana. Svi su bolesnici imali jednostrane ciste. Nakon kirurske ekscizije izgaranje zidova cista izvedeno je CO2 laserom. U jednom slucaju, nakon 4 mjeseca, pojavila se rekurentna cista i ucinjena je ponovna operacija. Nasa relativno mala serija slucajeva ukazuje na to da se simptomi kao sto su stridor i naporno disanje mogu pojaviti vec prvih dana zivota i potencijalno ugroziti zivot bolesnika. Potpuna ekscizija ciste i paljenje zidova CO2 laserom dovodi do potpunog izljecenja i sprjecava ponovni nastanak lezije. Kljucne rijeci: Cista, prirodena; Endoskopija; Grkljan; Novorodencad