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J Laryngol Otol. 2011 Oct;125(10):1094-7. doi: 10.1017/S0022215111001502. Epub 2011 Jul 18.

Bronchogenic cysts as a cause of infantile stridor: case report and literature review.

Author information

1
Department of Otorhinolaryngology - Head and Neck Surgery, Royal Manchester Children's Hospital, Manchester, UK. jaygoswamy@doctors.org.uk

Abstract

INTRODUCTION:

Cystic lesions related to the upper airway are an unusual cause of infantile stridor. Such a lesion may exert a mass effect, with subsequent airway compromise.

CASE REPORT:

A six-month-old boy was transferred to our unit with a right-sided, level IV neck lump and a three-month history of chronic cough and, latterly, inspiratory stridor. Computed tomography revealed a large, unilocular, cystic, cervicothoracic lesion causing marked compression of the trachea. Airway endoscopy subsequently revealed the larynx to be displaced to the left, with severe external compression of the trachea from just below the subglottic level to immediately above the carina. The mediastinal lesion was excised via an external approach. The histological diagnosis was a bronchogenic cyst.

CONCLUSION:

Bronchogenic cysts are a rare cause of infantile stridor, and should be considered in the differential diagnosis of cystic cervical and mediastinal masses. Surgical excision is the treatment of choice.

PMID:
21767428
DOI:
10.1017/S0022215111001502
[Indexed for MEDLINE]

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