A Rare Case of Vallecular Cyst

2016 ◽  
Vol 1 (2) ◽  
pp. 88-90 ◽  
Author(s):  
Anil Gangwar ◽  
Vaibhav Kuchhal ◽  
Priyanshu Srivastava
Keyword(s):  
Rare Case ◽  
Failure To Thrive ◽  
Male Infant ◽  
Cystic Mass ◽  
Anatomical Location ◽  
Feeding Problems ◽  
Inspiratory Stridor ◽  
Abnormal Finding ◽  
Medical College ◽  
Feeding Difficulty

ABSTRACT Vallecular cyst is an uncommon but potentially dangerous condition causing stridor and has been associated with sudden airway obstruction resulting in death due to its anatomical location in neonates. It may also present with feeding problems resulting in failure to thrive. Endoscopic laryngoscopy is necessary to visualize vallecular cyst when suspected clinically. Other conditions leading to neonatal stridor should be ruled out, such as laryngomalacia and other laryngotracheal abnormalities. Marsupialization with a CO2 laser is the most successful treatment. We report a case of a 6-month-old male infant referred to our ear, nose and throat department of Dr. Susheela Tiwari Hospital, Government Medical College, Haldwani, for the evaluation of inspiratory stridor, feeding difficulty, suprasternal retraction, and failure to thrive. The patient was misdiagnosed and treated conservatively by a pediatrician. On rigid laryngoscopic examination, an anteriorly displacing cystic mass on the tongue base on the left side was detected. The cyst was removed intoto using bipolar cautery. Immediately after surgery, inspiratory stridor, suprasternal retraction, and feeding difficulty improved gradually. One week later, follow-up rigid laryngoscopy showed no abnormal finding except episodic influx of epiglottis. How to cite this article Gangwar A, Kuchhal V, Srivastava P. A Rare Case of Vallecular Cyst. Int J Adv Integ Med Sci 2016;1(2):88-90.

Aryepiglottoplasty for laryngomalacia: 100 consecutive cases

2001 ◽  
Vol 115 (1) ◽  
pp. 35-38 ◽  
Author(s):  
S. C. Toynton ◽  
M. W. Saunders ◽  
C. M. Bailey
Keyword(s):  
Complication Rate ◽  
Neurological Disease ◽  
Failure To Thrive ◽  
Indications For Surgery ◽  
Airway Compromise ◽  
Feeding Problems ◽  
Street Hospital ◽  
Feeding Difficulties ◽  
Great Ormond Street Hospital ◽  
Feeding Difficulty

A retrospective review of the notes of 100 consecutive patients who had undergone aryepiglottoplasty for laryngomalacia, at Great Ormond Street Hospital for Children, was undertaken. Fifty-six were male, 44 female and 47 were under three months of age. Indications for surgery were oxygen desaturation below 92 per cent and feeding difficulties causing failure to thrive. Forty-seven patients had other pathology contributing to their airway compromise or feeding problems. Improvement in stridor after one month was achieved in 86/91 (94.5 per cent) being abolished completely in 50/91 (55 per cent). Of the 25 per cent of patients whose symptoms took more than one week to resolve, 16/22 (63.6 per cent) were later found to have a serious neurological condition. Feeding was improved in 42 of 58 patients (72.4 per cent) who had a pre-operative feeding difficulty. The complication rate was low, with only five out of 86 (10 per cent) experiencing initial worsening of the airway and six per cent having aspiration of early feeds before improvement occurred.Endoscopic aryepiglottoplasty remains the operation of choice for patients with severe laryngomalacia, however, in the presence of neurological disease surgery is less likely to be successful.

DOZ047.44: Coblation supraglottoplasty for symptomatic laryngomalacia

2019 ◽  
Vol 32 (Supplement_1) ◽  
Author(s):  
T Saravanamuthu ◽  
N Tajne ◽  
S Tarnoom ◽  
K Kamakoti
Keyword(s):  
Failure To Thrive ◽  
Feeding Problems ◽  
Demographic Information ◽  
Inspiratory Stridor ◽  
Number Of Patients ◽  
The Common ◽  
Good Exposure ◽  
Laryngeal Stridor

Abstract Background Laryngomalacia is the commonest cause of congenital laryngeal stridor and supraglottoplasty is the mainstay of surgical treatment for symptomatic laryngomalacia. A variety of techniques used for ablating redundant tissue in the supraglottis. Novel supraglottoplasty surgical technique is needed to achieve better safety and efficacy. The purpose of this study is to evaluate the outcome and effectiveness of supraglottoplasty. Methods A total of 71 patients with laryngomalacia were studied retrospectively. Of 20 patients with symptomatic laryngomalacia underwent supraglottoplasty and 48 patients were treated conservatively. Two patients refused surgical management. Of 80% underwent successive apnea technique, rest under ETGA. The number of patients who underwent supraglottoplasty technique 14 was of coblation, 3 were of cold steel, 1 was of coagulation, 1 was of laser, and 1 was of microdebrider. The patients were kept under observation in intensive care unit (ICU) from 1 to 3 days then in step downward for 3 to 5 days. No child was intubated in the postoperative period. The patient's demographic information, symptoms, comorbidities, type of laryngomalacia, synchronous airway lesions, and final outcomes were examined. Results The common indications for surgery were feeding problems and failure to thrive along with inspiratory stridor. Most common type of laryngomalacia was type 2 (71%). Good weight gain happened for 18 patients, one patient had to be continued on gastrostomy feeding, one patient did not gain weight. Majority of the patients continued to have some amount of noisy breathing and eventually settled in 3 months postoperatively. No perioperative deaths and no long-term complications occurred, 2 patients were readmitted for increasing stridor and treated with nebulizations and improved. Conclusions Supraglottoplasty is an effective and safe treatment for symptomatic laryngomalacia and has the potential to provide better breathing and feeding outcomes. Among all the techniques, in our retrospective study, we found that successive apnea technique and coblator ablation is safe and effective methods in supraglottoplasty because it gives good exposure of supraglottis, no concern of airway fire, less collateral damage. The advantage is easy instrumentation with single wand for ablation, coagulation, and aspiration. Multicenter cooperative studies of comparison between coblator and conventional approaches would lend further evidence-based support for this surgical method.

Congenital vallecular cyst in an infant: case report and review of 52 recent cases

2011 ◽  
Vol 125 (11) ◽  
pp. 1199-1203 ◽  
Author(s):  
J Suzuki ◽  
S Hashimoto ◽  
K Watanabe ◽  
K Takahashi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Failure To Thrive ◽  
Cystic Mass ◽  
Female Infant ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Inspiratory Stridor ◽  
The Past

AbstractObjectives:Vallecular cyst is uncommon in infants. We treated a female infant with vallecular cyst, and curious magnetic resonance imaging findings. We also review 51 other cases of vallecular cyst in infants reported over the past 23 years.Case report:A three-month-old female infant presented with congenital inspiratory stridor and failure to thrive. Flexible laryngoscopy and ultrasonography revealed a cystic mass in the vallecula. Magnetic resonance imaging findings were initially curious because of artefacts from breathing and swallowing. Marsupialisation of the cyst was performed. Post-operatively, the patient was immediately free of symptoms.Conclusion:Magnetic resonance imaging presents various difficulties in infants, but has the best diagnostic effectiveness. We recommend the use of magnetic resonance imaging, flexible fibroscopy and ultrasonography to enable extensive examination of suspected vallecular cysts in infants. Marsupialisation has a recurrence rate of only one in 39 cases, and its safety and effectiveness are well balanced. Thus, prompt marsupialisation of vallecular cyst is the recommended surgical procedure.

SIMULTANEOUS OCCURRENCE OF RING "G" CHROMOSOME AND GROUP "B" PERICENTRIC INVERSION IN THE SAME INDIVIDUAL: CASE REPORT AND REVIEW OF THE LITERATURE

PEDIATRICS ◽  
1970 ◽  
Vol 46 (1) ◽  
pp. 74-83
Author(s):  
Howard Singer ◽  
Nona Suzann Scaife
Keyword(s):  
Pericentric Inversion ◽  
Failure To Thrive ◽  
Male Infant ◽  
Partial Trisomy ◽  
Chromosome Breakage ◽  
B Chromosome ◽  
Individual Case ◽  
Simultaneous Occurrence ◽  
Partial Monosomy ◽  
Structural Abnormalities

A male infant with failure to thrive was found to have a previously unreported combination of chromosomal structural abnormalities. Evidence is presented which characterizes the abnormal chromosomes as a late-replicating G ring and a pericentric inversion in an early replicating B group chromosome. The mechanisms of pericentric inversion and ring formation are discussed, and possible genetic consequences are noted. The patient's phenotype differed significantly from that of previously reported subjects with G rings, G deletions, and structural abnormalities of the B group. This phenotypic difference could be attributed to the apparent fact that the proband's G ring was a late replicator (G1) and earlier cases were not, on to the seeming variability in ring size which suggested partial trisomy/partial monosomy, or perhaps to the probability that the abnormal B chromosome was pericentrically inverted rather than deleted. The question of the etiologic significance of broken parental chromosomes must be raised, although more study is needed in the area of chromosome breakage, its relationship to abnormal progeny, and the possible role of environmental agents, e.g., drugs and irradiation.

Treatment of Attachment Disorder of Infancy in a Neonatal Intensive Care Unit

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 139-142
Author(s):  
MARLENE S. GOODFRIEND
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Failure To Thrive ◽  
Reactive Attachment Disorder ◽  
Feeding Problems ◽  
Medical Problems ◽  
Attachment Disorder ◽  
Reactive Attachment

As a psychiatric consultant in an inner-city level III neonatal intensive care unit (NICU), I have seen several cases involving premature infants who did not have a caring, consistent adult in their lives. This neglect appeared to contribute to the development of behavior problems (eg, irritability) or feeding problems (eg, failure to thrive), and sometimes an infant failed to progress medically or experienced an exacerbation of medical problems. These infants were assigned the diagnosis of reactive attachment disorder of infancy. This is a recognized psychiatric entity that is defined, as follows, in the Diagnostic and Statistical Manual of Mental Disorders (3rd ed, revised):

scholarly journals Pattern and Clinical Profile of Congenital Heart Disease in A Teaching Hospital

1970 ◽  
Vol 21 (1) ◽  
pp. 58-62 ◽  
Author(s):  
L Shamima Sharmin ◽  
M Azizul Haque ◽  
M Iqbal Bari ◽  
M Ayub Ali
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Hospital Stay ◽  
Congenital Heart ◽  
Growth Failure ◽  
Female Child ◽  
Feeding Problems ◽  
Medical College ◽  
One Year ◽  
A Prospective Study

Objectives: To see the (a) type of congenital heart disease, (b) Clinical presentation of the cases, (c) association with extra-cardiac anomalies and disease, (d) complications of different CHD, (e) outcome of patients during hospital stay. Methodology: it was a prospective study conducted in the department of pediatrics of Rajshahi Medical College & Hospital over a period of one year.115 children from birth to 12 years of age who had congenital heart disease confirmed by echocardiography were included. All patients were treated conservatively and observed for immediate out come during the hospital stay. Result: major types of CHD were VSD (42.6%), TOF (18.3%), ASD (14.8%), PDA (7.8%). Male outnumbers female child. Common symptoms were breathlessness (60%), fatigue (54.8%), cough (43.5%), poor weight gain (41.7%), recurrent chest infection (34.8%), fever (28.7%), feeding problems (26.1%), palpitation (21.7%) and bluish discoloration of lips and fingertips (20%). Murmur with or without thrill and cardiomegaly was the most important cardiac finding. Frequently observed complications were heart failure, pulmonary hypertension and growth failure.   doi: 10.3329/taj.v21i1.3221 TAJ 2008; 21(1): 58-62

scholarly journals Reporting a Rare Case of Witkop's Tooth and Nail Syndrome (TNS) - A Clinical View

2013 ◽  
Vol 2 (2) ◽  
pp. 84-87
Author(s):  
Mamta Dali
Keyword(s):  
Rare Case ◽  
Medical College

Journal of Nobel Medical College Vol. 2, No.2 Issue 4 May-October 2013 Page 84-87 DOI: http://dx.doi.org/10.3126/jonmc.v2i2.8816

scholarly journals A Rare Case of Functional Ectopic Hyperthyroidism: Struma Ovarii

2016 ◽  
Vol 8 (3) ◽  
pp. 212-213
Author(s):  
Indu Lata ◽  
Deepa Kapoor
Keyword(s):  
Rare Case ◽  
Histopathological Examination ◽  
Thyroid Tissue ◽  
Signs And Symptoms ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Cystic Mass ◽  
Surgical Removal ◽  
Struma Ovarii ◽  
Lower Abdomen

ABSTRACT Struma ovarii (SO) is a rare special type of monodermal teratoma of ovary that predominantly consists of thyroid tissue (> 50%). In only 5 to 20% of cases hyperthyroidism is seen due to functional SO. We are reporting here a case of unilateral benign cystic SO in a 50-year-old postmenopausal lady presented with pain and heaviness in lower abdomen without any signs and symptoms of hyperthyroidism. Pelvic ultrasonogram showed right side tubo-ovarian mass and was planned for laparotomy. In preoperative investigation subclinical hyperthyroidism was diagnosed. Abdominal exploration showed cystic mass lesion in right ovary. She underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. Histopathological examination diagnosed the mass as benign cystic SO. Patient became euthyroid after surgical removal of tumor. How to cite this article Lata I, Kapoor D. A Rare Case of Functional Ectopic Hyperthyroidism: Struma Ovarii. World J Endoc Surg 2016;8(3):212-213.

COARCTATION OF THE AORTA WITH CONGESTIVE HEART FAILURE IN INFANCY—MEDICAL TREATMENT

PEDIATRICS ◽  
1956 ◽  
Vol 17 (1) ◽  
pp. 45-57
Author(s):  
Henry T. Lang ◽  
Alexander S. Nadas
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Medical Treatment ◽  
Ventricular Hypertrophy ◽  
Failure To Thrive ◽  
Coarctation Of The Aorta ◽  
Left Ventricular ◽  
Late Childhood ◽  
Feeding Problems ◽  
Left And Right

Nine infants with uncomplicated coarctation of the aorta in congestive heart failure are presented. The symptomatology was dominated by feeding problems, failure to thrive, dyspnea, and cyanosis. On physical examination, in addition to signs referable to the coarctation, signs of both left and right-sided congestive heart failure were noted. The roentgenographic survey revealed marked generalized cardiomegaly and pulmonary congestion. Electrocardiograms in the infants less than 6 months of age showed left, right, or combined ventricular hypertrophy, whereas those more than 6 months of age all showed left ventricular hypertrophy. Medical treatment, consisting of digitalis, oxygen, mercurial diuretics, diet low in sodium, and antibiotics, was successful in all instances. Digitalization was maintained throughout infancy. Operative intervention can be safely postponed until late childhood unless medical management is not successful. A review of the pertinent literature is presented.

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