Laryngeal-Supraglottic Cyst
Supraglottic laryngeal cysts are benign and relatively rare formations that originate from the larynx.
Supraglottic Laryngeal Cyst
Left undiagnosed and neglected these effects may be detrimental, leading to life-threatening acute airway obstruction
Signs and symptoms such as hoarseness, neck swelling, stridor, dysphagia, globus, sore throat, snoring and cough can alert the surgeon and anesthetist to potential difficulties with intubation and ventilation, especially after the administration of muscle relaxants.
Huge laryngeal cysts demand proper anesthetic and surgical management planned in advance. Above all, the anesthetic part includes preparation for difficult airway and skills to deal with what otherwise would be unexpected.
A 35-year-old lady presented with hoarseness and progressive difficulty in breathing and swallowing.
On flexible nasolaryngeal endoscopy, there was a large well-defined supraglottic cystic lesion (2x 2.5cm) and the vocal cords were not visualized. CT scan of the Neck revealed an extensive cystic supraglottic mass as seen the pictures.
Management
Careful Pre Anesthetic Evaluation by Anesthetist
Fibre Optic Guided Intubation, if it fails-
Tracheostomy and Endoscopic Removal of supraglotic Cyst-Originating from the Vallecula.
(A histopathology report confirm the diagnosis of a cyst lined with pseudostratified columnar respiratory epithelium and focal presence of intracellular and extra cellular mucus production .
