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A Giant Vallecular Cyst in an Adult: A Case Report.

Cureus

July 2024

Department of Otolaryngology - Head and Neck Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Vallecular cysts (VCs) are rare benign lesions arising from the obstruction of mucous gland ducts. VCs are uncommon anomalies found in both pediatric and adult populations. They are also known as mucous-retention cysts, preepiglottic cysts, ductal cysts, base-of-tongue cysts, and epiglottis cysts.

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Congenital Vallecular Cyst: A Case Report of rare cause of upper air way obstruction in infant.

Pak J Med Sci

July 2024

Naveed Ur Rehman Siddiqui, FCPS Department of Pediatric Medicine and Child Health, Aga Khan University Hospital, Karachi, Pakistan.

Article Synopsis
  • Congenital vallecular cyst is a rare cause of upper airway obstruction, with limited literature available on its incidence.
  • A 10-month-old infant was initially misdiagnosed as having a foreign body due to similar symptoms, leading to an unnecessary bronchoscopy.
  • After further examination in the ICU, the cyst was identified and treated, resulting in a successful extubation of the patient without further obstruction issues.
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Tongue-base cysts, which are occasionally categorized as vallecular cysts, are a rare yet potentially life-threatening cause of stridor in pediatric patients. Studies reporting the use of point-of-care ultrasound (POCUS) to identify tongue-base cysts are lacking. We present the case series of four infants in whom tongue-base cysts were detected using neck POCUS.

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A vallecular cyst is a rare diagnosis in newborns presented with stridor, which poses a significant threat to the well-being of infants. This potentially life-threatening condition is associated with a range of complications, including respiratory distress, feeding difficulties, and failure to thrive. Through this case series, we aim to shed light on the suspicion of vallecular cysts in newborns presenting with stridor and the complexities encountered during their management, highlighting the importance of early recognition and intervention.

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Consensus-based recommendations are needed to better guide paediatric otolaryngologists in providing standardised care to children with sleep-disordered breathing (SDB). Here we present a unique case of vallecular cyst found during SDB workup in a patient in their middle childhood (6-12 years old). While the patient underwent successful cyst resection, he was noted to have a suspected recurrence 6 months later.

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