발육부전과 빈번한 호흡기 감염을 동반한 선천성 후두개곡 낭종을 가진 영아 치험 1례

Vallecular cyst is a rare but dangerous disease causing stridor in neonates and young infants. Without recognition and proper therapy, the resulting airway obstruction can lead to serious morbidity and mortality. A-12 week-old female infant was referred because of feeding difficulty, inspiratory strior, chest retraction and failure to thrive. A neck lateral radiography and laryngoscopic examination showed 1.2 cm sized abnormal soft tissue mass at the vallecula. Diagnostic workup revealed a cyst at the tongue base, suggesting a vallecular cyst. Marsupialization under the laryngomicrosurgery with CO₂ laser was done. After surgery the symptoms improved and the body weight increased steadily. (J Clinical Otolaryngol 2009;20:281-284)