Thyroglossal duct cyst accompanied by laryngomalacia and pulmonary sequestration

A 2‐month‐old full‐term female infant developed nasal stridor, which progressed to respiratory distress and poor sucking ability. Direct pharyngoscopy showed laryngomalacia and a midline cystic mass in the lingual region. The mass pressed on the epiglottis, causing dyspnea. Computed tomography incid...

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Veröffentlicht in:Pediatrics international 2014-06, Vol.56 (3), p.e7-e10
Hauptverfasser: Yagasaki, Hideaki, Makino, Koichi, Goto, Yusuke, Suzuki, Takeyuki, Oyachi, Noboru, Obana, Kazuko, Ko, Junichi, Komai, Takayuki
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container_end_page e10
container_issue 3
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container_title Pediatrics international
container_volume 56
creator Yagasaki, Hideaki
Makino, Koichi
Goto, Yusuke
Suzuki, Takeyuki
Oyachi, Noboru
Obana, Kazuko
Ko, Junichi
Komai, Takayuki
description A 2‐month‐old full‐term female infant developed nasal stridor, which progressed to respiratory distress and poor sucking ability. Direct pharyngoscopy showed laryngomalacia and a midline cystic mass in the lingual region. The mass pressed on the epiglottis, causing dyspnea. Computed tomography incidentally revealed extralobar pulmonary sequestration. Direct deroofing of the lingual cyst and plication of the epiglottis were performed at 3 months of age, and the patient recovered from the respiratory distress. Histopathology of the cystic mass showed a thyroglossal duct cyst. Thoracoscopic resection of the pulmonary sequestration was then done at 17 months of age. Thyroglossal duct cysts in the lingual region may cause destabilization of the epiglottis and laryngomalacia, resulting in acquired respiratory obstruction. The combination of thyroglossal duct cyst, laryngomalacia, and pulmonary sequestration is rare; therefore, reports must be accumulated in order to explore the embryological origins of such cases.
doi_str_mv 10.1111/ped.12309
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Direct pharyngoscopy showed laryngomalacia and a midline cystic mass in the lingual region. The mass pressed on the epiglottis, causing dyspnea. Computed tomography incidentally revealed extralobar pulmonary sequestration. Direct deroofing of the lingual cyst and plication of the epiglottis were performed at 3 months of age, and the patient recovered from the respiratory distress. Histopathology of the cystic mass showed a thyroglossal duct cyst. Thoracoscopic resection of the pulmonary sequestration was then done at 17 months of age. Thyroglossal duct cysts in the lingual region may cause destabilization of the epiglottis and laryngomalacia, resulting in acquired respiratory obstruction. 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Direct pharyngoscopy showed laryngomalacia and a midline cystic mass in the lingual region. The mass pressed on the epiglottis, causing dyspnea. Computed tomography incidentally revealed extralobar pulmonary sequestration. Direct deroofing of the lingual cyst and plication of the epiglottis were performed at 3 months of age, and the patient recovered from the respiratory distress. Histopathology of the cystic mass showed a thyroglossal duct cyst. Thoracoscopic resection of the pulmonary sequestration was then done at 17 months of age. Thyroglossal duct cysts in the lingual region may cause destabilization of the epiglottis and laryngomalacia, resulting in acquired respiratory obstruction. The combination of thyroglossal duct cyst, laryngomalacia, and pulmonary sequestration is rare; therefore, reports must be accumulated in order to explore the embryological origins of such cases.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24894942</pmid><doi>10.1111/ped.12309</doi><tpages>4</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects bronchopulmonary sequestration
Bronchopulmonary Sequestration - complications
Cysts
Female
Humans
Infant
infantile respiratory distress syndrome
laryngomalacia
Laryngomalacia - complications
Pediatrics
pharyngoscopy
Respiratory diseases
thyroglossal cyst
Thyroglossal Cyst - complications
Tomography
title Thyroglossal duct cyst accompanied by laryngomalacia and pulmonary sequestration
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