Cystic Hygroma Co-existing with Congenital Subglottic Stenosis
Anusha Balasubramanian, Baharudin Abdullah
Acta Inform Med. 2012; 20(3): 192-193
Respiratory distress is one of the commonest cause of admission into a Neonatal Intensive Care Unit, be it surgical or medical in nature. Adequate and prompt resuscitation as well as intubation can be life saving. Emergency or early tracheostomy may be necessary if airway intervention is needed. The authors present the case of a term neonate who was born with a large cervical cystic hygroma causing compression of the airway, together with a concurrent grade III subglottic stenosis, in respiratory distress within few minutes of life.Nine months post tracheostomy and sclerotherapy treatment twice, the child shows marked improvement. The succesful management of this unusual case of severe extrinsic compression with concurrent internal airway obstruction is presented.
1. Manoukian JJ, Tan AK. Embryology of the larynx. In: Tewfik TL, Der Kaloustian VM, eds. Congenital Anomalies of the Ear, Nose, and Throat. New York, NY: Oxford University Press; 1997: 377-382.
2. Zainine R, El Aoud C, Sellami M, Beltaief N et al. Cystic hygroma: report of 25 cases. Tunis Med. 2012 Jan; 90(1): 19-24.
3. Kassanos D, Botsis D, Pyrgiotis E, Salamalekis E. et al. Cystic hygromas associated with Turner’s syndrome. Report of three cases. Clin Exp Obstet Gynecol. 1992; 19(4): 222-225.
4. Altman KW, Wetmore RF, Marsh RR. Congenital airway abnormalities in patients requiring hospitalization. Arch Otolaryngol Head Neck Surg. May 1999; 125(5): 525-528.