Hostname: page-component-77c89778f8-5wvtr Total loading time: 0 Render date: 2024-07-17T08:49:44.388Z Has data issue: false hasContentIssue false

Neonatal airway lesions: our experience and a review of the literature

Published online by Cambridge University Press:  21 November 2012

V Rangachari*
Affiliation:
Department of Otorhinolaryngology, Pushpanjali Crosslay Hospital, Ghaziabad, Uttar Pradesh, India
R Aggarwal
Affiliation:
Department of Otorhinolaryngology, Pushpanjali Crosslay Hospital, Ghaziabad, Uttar Pradesh, India
A Jain
Affiliation:
Department of Otorhinolaryngology, Pushpanjali Crosslay Hospital, Ghaziabad, Uttar Pradesh, India
M C Kapoor
Affiliation:
Department of Anesthesiology, Pushpanjali Crosslay Hospital, Ghaziabad, Uttar Pradesh, India
*
Address for correspondence: Dr V Rangachari, Department of Otorhinolaryngology, Pushpanjali Crosslay Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India201001 Fax: +91 120 417 3011 E-mail: vijayrchari@gmail.com

Abstract

Objectives:

This paper reports on two rare cases of neonatal airway lesions with differing aetiology that were successfully managed by surgery, and provides a review of the literature on neonatal stridor and airway lesions.

Case reports:

In the first case report, a newborn presented with a nasopharyngeal teratoma. In the second case report, a newborn presented with a congenital laryngeal saccular cyst. Difficulties in the diagnosis of these lesions, and surgical and anaesthetic challenges in their management are discussed.

Conclusion:

Every case of neonatal airway distress must be evaluated and the cause of stridor needs to be established. It is important that rare lesions such as teratomas and laryngeal cysts are not overlooked; a high index of suspicion for these congenital anomalies is necessary. These airway lesions should be managed in an institutional setting by a multidisciplinary team.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Daniel, M, Cheng, A. Neonatal stridor. Int J Pediatr 2012;2012:859104.Epub 2011 Dec 25Google Scholar
2 Claes, J, Boudewyns, A, Deron, P, VanderPoorten, V, Hoeve, H. Management of stridor in neonates and infants. B-ENT 2005; (suppl 1):113–22Google Scholar
3 Ahmad, SM, Soliman, AM. Congenital anomalies of the larynx. Otolaryngol Clin North Am 2007;40:177–91CrossRefGoogle ScholarPubMed
4 Hong, MY, Kuo, WR, Wu, JR, Lin, HJ, Lo, YS, Juan, KH. Congenital nasopharyngeal teratoma: report of a case and review of the literature [in Chinese]. Gaoxiong Yi Xue Ke Xue Za Zhi 1993;9:476–80Google Scholar
5 Ulger, Z, Egemen, A, Karapinar, B, Veral, A, Apavdin, F. A very rare cause of recurrent apnea: congenital nasopharyngeal teratoma. Turk J Pediatr 2005;47:266–9Google Scholar
6 Cay, A, Bektas, D, Imamoglu, M, Bahadir, O, Cobanoglu, U, Sarihan, H. Oral teratoma: a case report and literature review. Pediatr Surg Int 2004;20:304–8CrossRefGoogle ScholarPubMed
7 Rybak, LP, Rapp, MF, McGrady, MD, Schwart, MR, Myers, PW, Orvidas, L. Obstructing nasopharyngeal teratoma in the neonate. Arch Otolaryngol Head Neck Surg 1991;117:1411–15CrossRefGoogle ScholarPubMed
8 Martin, WP, John, KSW, Hasselta, CA. Congenital laryngeal cysts: current approach to management. J Laryngol Otol 1996;110:854–6Google Scholar
9 Arens, C, Glanz, H, Kleinsasser, O. Clinical and morphological aspects of laryngeal cysts. Eur Arch Otorhinolaryngol 1997;254:430–6Google Scholar
10 Derkay, CS, Grundfast, KM. Airway compromise from nasal obstruction in neonates and infants. Int J Pediatr Otorhinolaryngol 1990;19:241–9CrossRefGoogle ScholarPubMed