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Infant with sudden, large, post-extubation subglottic cyst

Asha'ari, Zamzil Amin and Suhaimi, Yusof and Fadzil, Ahmad (2012) Infant with sudden, large, post-extubation subglottic cyst. In: Laryngology2012: Cutting edge laryngology for 21st century, 1-3 June 2012, UKM Medical Centre, Kuala Lumpur.

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Abstract

Background: Subglottic cyst in infancy is almost always associated with episodes of early life intubation. Most cases typically presented late, usually days to months after endotracheal extubation. We report a case of a subglottic cyst with different presentation than the norm. Case presentation: A prematurely born, four-month-old baby girl was on a ventilator via the endotracheal tube for four days after diagnosed with severe pneumoniae. She presented with stridor, two hours after airway extubation. Her conditions deteriorated, needing reintubation. However, laryngoscopy showed a large subglottic cyst totally obstructing the airway. As an attempt to intubate failed, a tracheostomy was performed and the cyst was marsupialized under general anesthesia. Conclusion: This case highlights that subglottic cyst can present acutely, and rapidly enlarging soon after the airway extubation. As the management of a large subglottic cyst can be challenging, a close observation for early diagnosis and intervention are recommended post extubation in the high-risk cases, such as in the premature infant.

Item Type: Conference or Workshop Item (Poster)
Additional Information: 5556/24356
Uncontrolled Keywords: subglottic cyst, acquired cyst, premature infant, endotracheal intubation, airway obstruction
Subjects: R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes: Kulliyyah of Medicine > Department of Otolaryngology - Head and Neck Surgery
Depositing User: Dr ZAMZIL AMIN ASHA'ARI
Date Deposited: 15 Oct 2012 14:29
Last Modified: 02 Jun 2017 10:45
URI: http://irep.iium.edu.my/id/eprint/24356

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