Difficulties in diagnosis of laryngeal cysts in children

Introduction: In larynx cysts may be localized in different regions: glottis, laryngeal pouch, epiglottis, aryepiglottic folds and subglottic area. It is difficult to estimate if the cyst is acquired or congenital. Symptoms of laryngeal cyst depend on the size and localization of the cyst and include: change in the tone of voice, dysphonia, hoarseness, dysphagia, laryngeal stridor and dyspnoea. Cysts of the larynx in infants are rare but the treatment is easy once the diagnosis is made. If mismanaged, the resulting respiratory obstruction can lead to serious complications. Objective: Analysis of cases of laryngeal cyst in children treated in the Department of Paediatric ENT Medical University of Warsaw. Materials and methods: A retrospective analysis of 10 cases of laryngeal cyst in children treated in the Department of Paediatric ENT in Warsaw between 2000 and 2008 was made. Results: The authors analyzed indications to directoscopy, endoscopic presentation, problems with establishing the right diagnosis and management. Conclusions: Using a direct laryngoscopy as a golden standard in children with stridor will reduce a number of false diagnosis. (C) 2009 Elsevier Ireland Ltd. All rights reserved.