Vallecular cyst as a cause of congenital stridor: report of five patients

Background Vallecular cysts are an unusual cause of congenital stridor. Objective To describe the imaging findings in five patients, with emphasis on the usefulness of sonographic studies. Materials and methods Between 1990 and 2007, five patients with a cystic lesion situated in the anterior neck,...

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Veröffentlicht in:Pediatric radiology 2009-08, Vol.39 (8), p.828-831
Hauptverfasser: Breysem, Luc, Goosens, Veerle, Vander Poorten, Vincent, Vanhole, Christine, Proesmans, Marijke, Smet, Marleen
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container_end_page 831
container_issue 8
container_start_page 828
container_title Pediatric radiology
container_volume 39
creator Breysem, Luc
Goosens, Veerle
Vander Poorten, Vincent
Vanhole, Christine
Proesmans, Marijke
Smet, Marleen
description Background Vallecular cysts are an unusual cause of congenital stridor. Objective To describe the imaging findings in five patients, with emphasis on the usefulness of sonographic studies. Materials and methods Between 1990 and 2007, five patients with a cystic lesion situated in the anterior neck, at the vallecular space, were seen in our institution. Clinical records and imaging findings were retrospectively reviewed. Results All patients presented with persistent inspiratory stridor that was present from the first week of life. Neck US was performed as part of the investigations in four and showed a vallecular cyst. The diagnosis was confirmed with flexible bronchoscopy in four infants and CT in one; all were resected. Pathology showed a multilayered epithelial border with normal thickness and differentiation; there were no signs of malignancy. Conclusion Although vallecular cysts are very rare, they should be considered in the differential diagnosis of congenital stridor. When the commonest causes have been ruled out, neck US may be diagnostic. The diagnosis can be confirmed with flexible bronchoscopy or further imaging such as CT or MRI.
doi_str_mv 10.1007/s00247-009-1299-1
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Objective To describe the imaging findings in five patients, with emphasis on the usefulness of sonographic studies. Materials and methods Between 1990 and 2007, five patients with a cystic lesion situated in the anterior neck, at the vallecular space, were seen in our institution. Clinical records and imaging findings were retrospectively reviewed. Results All patients presented with persistent inspiratory stridor that was present from the first week of life. Neck US was performed as part of the investigations in four and showed a vallecular cyst. The diagnosis was confirmed with flexible bronchoscopy in four infants and CT in one; all were resected. Pathology showed a multilayered epithelial border with normal thickness and differentiation; there were no signs of malignancy. Conclusion Although vallecular cysts are very rare, they should be considered in the differential diagnosis of congenital stridor. When the commonest causes have been ruled out, neck US may be diagnostic. 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Objective To describe the imaging findings in five patients, with emphasis on the usefulness of sonographic studies. Materials and methods Between 1990 and 2007, five patients with a cystic lesion situated in the anterior neck, at the vallecular space, were seen in our institution. Clinical records and imaging findings were retrospectively reviewed. Results All patients presented with persistent inspiratory stridor that was present from the first week of life. Neck US was performed as part of the investigations in four and showed a vallecular cyst. The diagnosis was confirmed with flexible bronchoscopy in four infants and CT in one; all were resected. Pathology showed a multilayered epithelial border with normal thickness and differentiation; there were no signs of malignancy. Conclusion Although vallecular cysts are very rare, they should be considered in the differential diagnosis of congenital stridor. When the commonest causes have been ruled out, neck US may be diagnostic. The diagnosis can be confirmed with flexible bronchoscopy or further imaging such as CT or MRI.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19458946</pmid><doi>10.1007/s00247-009-1299-1</doi><tpages>4</tpages></addata></record>
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subjects Cysts - complications
Cysts - congenital
Cysts - diagnostic imaging
Female
Humans
Imaging
Infant
Laryngeal Diseases - complications
Laryngeal Diseases - congenital
Laryngeal Diseases - diagnostic imaging
Male
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Oncology
Original Article
Pediatrics
Radiology
Respiratory Sounds - etiology
Ultrasonography - methods
Ultrasound
title Vallecular cyst as a cause of congenital stridor: report of five patients
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