Case study of a lingual thyroglossal duct cyst: emergency in the airway of the young infant
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Abstract
The thyroglossal cyst is one of the main causes of congenital neck tumors, being the tongue infrequent site of presentation. However it´s relevant to know this location, mainly in young infants, since, due to its anatomical characteristics respiratory distress is a main finding, it could be presented in different degrees of severity, until it completely compromises the airway and the life of the patient. Two cases of infants are admitted due to stridor and signs of ventilatory failure are presented. Both cases, flexible nasofibrolaryngoscopy was performed, showing a cystic appearance lesion on the tongue, and diagnostic study was subsequently completed with images giving the lingual thyroglossal cyst as the first diagnostic option. Both patients underwent surgical management with suspension microlaryngoscopy plus endoscopic marsupialization with cold cut and radiofrequency with adequate postoperative evolution. Based on previous cases, we propose a management algorithm emphasizing the use of diagnostic images and surgical technique.
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Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
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eISSN: 2539-0856
ISSN: 0120-8411
References
Aubin A, Lescanne E, Pondaven S, Merieau-Bakhos E, Bakhos D. Stridor and lingual thyroglossal duct cyst in a newborn. Eur Ann Otorhinolaryngol Head Neck Dis. 2011;128(6):321–3.
Harumatsu T, Uchida G, Fujimura T, Kato M, Tomita H, Ishioka S, et al. The effectiveness of transoral marsupialization for lingual thyroglossal duct cysts — Twelve successfully treatedcases at a single institution. J
Pediatr Surg. 2019;54(4):766–70.
Li W, Ren YP, Shi YY, Zhang L, Bu RF. Presentation, management, and outcome of lingual thyroglossal duct
cyst in pediatric and adult populations. J Craniofac Surg.2019;30(5):E442–6.
Fu J, Xue X, Chen L, Fan G, Pan L, Mao J. Lingual thyroglossal duct cyst in newborns: Previously misdiagnosed
as laryngomalacia. Int J Pediatr Otorhinolaryngol. 2008;72(3):327–32.
Zimmerman KO, Hupp SR, Bourguet-Vincent A, Bressler EA, Raynor EM, Turner DA, et al. Acute upper-airway obstruction by a lingual thyroglossal duct cyst and implications for advanced airway management. Respir Care. 2014;59(7):e98–102.
Kayhan FT, Kaya KH, Koc AK, Altintas A, Erdur O. Transoral surgery for an infant thyroglossal duct cyst. Int J Pediatr Otorhinolaryngol. 2013;77(9):1620–3.
Fong S, Hodge JC, Foreman A, Krishnan S. Transoral robotic excision of a lingual thyroglossal duct cyst. J Robot Surg. 2018;12(2):357–60.
Drusin MA, Pereira NM, Modi VK. Intralingual Thyroglossal Duct Cyst Excision. Laryngoscope. 2020;00:1-4.
Fang WS, Wiggins RH, Illner A, Hamilton BE, Hedlund GL, Hunt JP, et al. Primary lesions of the root of the Tongue. Radiographics. 2011;31(7):1907–22.
Singh A, Thukral CL, Gupta K, Sood AS, Singla H, Singh K. Role of MRI in Evaluation of Malignant Lesions of Tongue and Oral Cavity. Polish J Radiol. 2017;82:92–9.
Sattar AK, McRae R, Mangray S, Hansen K, Luks FI. Core excision of the foramen cecum for recurrent thyroglossal duct cyst after Sistrunk operation. J Pediatr Surg. 2004;39(4):e3-e5.
Burkart CM, Richter GT, Rutter MJ, Myer CM. Update on endoscopic management of lingual thyroglossal duct cysts.Laryngoscope. 2009;119(10):2055–60.
Pu S, Xu H, Li X. Supraglottoplasty in neonates and infants: A radiofrequency ablation approach. Medicine (Baltimore).2018;97(7):e9850.
Hofauer B, Knopf A, Strassen U, Wirth M, Mollenhauer M, Edenharter G, et al. Radiofrequency resection in oral and oropharyngeal tumor surgery. Auris Nasus Larynx.2020;47(1):148–53.