Sažetak sa skupa
Endoscopic transoral complete vallecular cyst excision in a newborn using a photoangiolytic (“blue”) laser
Mirko Maglica
orcid.org/0000-0001-9264-7597
; KBC Split, Spinčićeva 1, 21000 Split, Hrvatska
Marin Gudelj
orcid.org/0009-0009-5650-990X
; KBC Split, Spinčićeva 1, 21000 Split, Hrvatska
Braco Bošković
; KBC Split, Spinčićeva 1, 21000 Split, Hrvatska
Sažetak
Objective: Vallecular cysts are rare congenital lesions that can cause significant airway compromise in
neonates. We report a case of a newborn with a symptomatic vallecular cyst successfully treated using a
photoangiolytic (“blue”) laser. Material and methods: A female neonate presented with recurrent cyanotic
episodes and inspiratory stridor shortly after birth. Flexible endoscopy revealed a vallecular cyst displacing
the epiglottis posteriorly, causing it to prolapse into the rima glottidis during inspiration. The MRI confirmed
the working diagnosis of a benign cystic lesion. Using a transoral laryngomicroscopy approach, complete
excision was performed with a photoangiolytic (“blue”) laser. Results: This approach, combined with the
photoangiolytic properties of the laser, enabled complete excision with simultaneous cutting and effective
hemostasis. The patient was extubated the same day, without stridor, and resumed breastfeeding shortly
thereafter. Postoperative endoscopy demonstrated only minimal edema. The pathology report confirmed a
benign retention cyst. Conclusion: Vallecular cysts, though rare, should be considered in neonates with stridor,
feeding difficulties, or cyanotic episodes. Early recognition and surgical management are essential to prevent
airway obstruction. Photoangiolytic laser excision offers a safe, effective, and minimally invasive treatment
option with rapid recovery.
Ključne riječi
vallecular cyst; neonate; photoangiolytic laser
Hrčak ID:
336374
URI
Datum izdavanja:
10.11.2025.
Posjeta: 127 *