Acute apnea caused by an epiglottic cyst
A life threatening complication in the course of routine sedation in a 5 year old child is reported in a case study. A retention cyst of the epiglottis was found to be responsible for obstruction of the larynx leading to acute apnea. The patient history revealed recurrent episodes of stridor previou...
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| Veröffentlicht in: | International journal of pediatric otorhinolaryngology 1998, Vol.42 (3), p.271-276 |
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| container_title | International journal of pediatric otorhinolaryngology |
| container_volume | 42 |
| creator | Dahm, Markus C Panning, Bernhard Lenarz, Thomas |
| description | A life threatening complication in the course of routine sedation in a 5 year old child is reported in a case study. A retention cyst of the epiglottis was found to be responsible for obstruction of the larynx leading to acute apnea. The patient history revealed recurrent episodes of stridor previously diagnosed and treated as acute laryngotracheobronchitis as well as border line psychomotoric retardation. Cerebral magnetic resonance imaging was performed for neuroradiological evaluation. After administration of sedation the child presented with stridor and acute apnea. Emergency orotracheal intubation could prevent tracheotomy but was complicated by the unexpected presence of a tumor at the base of the tongue. Further evaluation revealed a large epiglottic cyst. After endoscopic removal of the cyst no further episodes of apnea or stridor were noted. |
| doi_str_mv | 10.1016/S0165-5876(97)00145-6 |
| format | Article |
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A retention cyst of the epiglottis was found to be responsible for obstruction of the larynx leading to acute apnea. The patient history revealed recurrent episodes of stridor previously diagnosed and treated as acute laryngotracheobronchitis as well as border line psychomotoric retardation. Cerebral magnetic resonance imaging was performed for neuroradiological evaluation. After administration of sedation the child presented with stridor and acute apnea. Emergency orotracheal intubation could prevent tracheotomy but was complicated by the unexpected presence of a tumor at the base of the tongue. Further evaluation revealed a large epiglottic cyst. 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A retention cyst of the epiglottis was found to be responsible for obstruction of the larynx leading to acute apnea. The patient history revealed recurrent episodes of stridor previously diagnosed and treated as acute laryngotracheobronchitis as well as border line psychomotoric retardation. Cerebral magnetic resonance imaging was performed for neuroradiological evaluation. After administration of sedation the child presented with stridor and acute apnea. Emergency orotracheal intubation could prevent tracheotomy but was complicated by the unexpected presence of a tumor at the base of the tongue. Further evaluation revealed a large epiglottic cyst. After endoscopic removal of the cyst no further episodes of apnea or stridor were noted.</description><subject>Acute Disease</subject><subject>Apnea</subject><subject>Apnea - diagnosis</subject><subject>Apnea - etiology</subject><subject>Benign tumors of the larynx</subject><subject>Child, Preschool</subject><subject>Complication</subject><subject>Cysts - complications</subject><subject>Cysts - pathology</subject><subject>Cysts - surgery</subject><subject>Epiglottic cyst</subject><subject>Epiglottis - pathology</subject><subject>Epiglottis - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Hypothyroidism</subject><subject>Hypothyroidism - complications</subject><subject>Hypothyroidism - diagnosis</subject><subject>Laryngeal Neoplasms - complications</subject><subject>Laryngeal Neoplasms - pathology</subject><subject>Laryngeal Neoplasms - surgery</subject><subject>Magnetic Resonance Imaging</subject><subject>Respiratory distress</subject><subject>Retention cyst</subject><subject>Sedation</subject><issn>0165-5876</issn><issn>1872-8464</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtPwzAQhC0EKqXwEyrlhMohYCf22jmhquIlVeIAnC3X3iCjNAmxg9R_3_ShXrnsHmZmV_MRMmX0nlEGDx_DEKlQEmaFvKOUcZHCGRkzJbNUceDnZHyyXJKrEH4Gk6RCjMio4ABZzsZkNrd9xMS0NZrEmj6gS1abxNQJtv67amL0NrGbEK_JRWmqgDfHPSFfz0-fi9d0-f7ytpgvU8tZFlNhjVQlCOASDJd5TpE7gYw5Ccig4IjKceFUnhcSJKcIhVESOZaKAuT5hNwe7rZd89tjiHrtg8WqMjU2fdCyAJVJAYNRHIy2a0LosNRt59em22hG9Y6Q3hPSu_q6kHpPSO9y0-ODfrVGd0odkQz640HHoeWfx04H67G26HyHNmrX-H8-bAFe6HLx</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>Dahm, Markus C</creator><creator>Panning, Bernhard</creator><creator>Lenarz, Thomas</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>1998</creationdate><title>Acute apnea caused by an epiglottic cyst</title><author>Dahm, Markus C ; Panning, Bernhard ; Lenarz, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-5ca78f656476a47330e4d5e11d76e1694ee8d45d833976740e69a87e4ef806633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Acute Disease</topic><topic>Apnea</topic><topic>Apnea - diagnosis</topic><topic>Apnea - etiology</topic><topic>Benign tumors of the larynx</topic><topic>Child, Preschool</topic><topic>Complication</topic><topic>Cysts - complications</topic><topic>Cysts - pathology</topic><topic>Cysts - surgery</topic><topic>Epiglottic cyst</topic><topic>Epiglottis - pathology</topic><topic>Epiglottis - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Hypothyroidism</topic><topic>Hypothyroidism - complications</topic><topic>Hypothyroidism - diagnosis</topic><topic>Laryngeal Neoplasms - complications</topic><topic>Laryngeal Neoplasms - pathology</topic><topic>Laryngeal Neoplasms - surgery</topic><topic>Magnetic Resonance Imaging</topic><topic>Respiratory distress</topic><topic>Retention cyst</topic><topic>Sedation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dahm, Markus C</creatorcontrib><creatorcontrib>Panning, Bernhard</creatorcontrib><creatorcontrib>Lenarz, Thomas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>International journal of pediatric otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dahm, Markus C</au><au>Panning, Bernhard</au><au>Lenarz, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute apnea caused by an epiglottic cyst</atitle><jtitle>International journal of pediatric otorhinolaryngology</jtitle><addtitle>Int J Pediatr Otorhinolaryngol</addtitle><date>1998</date><risdate>1998</risdate><volume>42</volume><issue>3</issue><spage>271</spage><epage>276</epage><pages>271-276</pages><issn>0165-5876</issn><eissn>1872-8464</eissn><abstract>A life threatening complication in the course of routine sedation in a 5 year old child is reported in a case study. 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| fulltext | fulltext |
| identifier | ISSN: 0165-5876 |
| ispartof | International journal of pediatric otorhinolaryngology, 1998, Vol.42 (3), p.271-276 |
| issn | 0165-5876 1872-8464 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Acute Disease Apnea Apnea - diagnosis Apnea - etiology Benign tumors of the larynx Child, Preschool Complication Cysts - complications Cysts - pathology Cysts - surgery Epiglottic cyst Epiglottis - pathology Epiglottis - surgery Female Humans Hypothyroidism Hypothyroidism - complications Hypothyroidism - diagnosis Laryngeal Neoplasms - complications Laryngeal Neoplasms - pathology Laryngeal Neoplasms - surgery Magnetic Resonance Imaging Respiratory distress Retention cyst Sedation |
| title | Acute apnea caused by an epiglottic cyst |
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