Supraglottic mucopyocele with cardio-respiratory arrest

Authors

  • Ricardo Ribeiro Interno Complementar do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial, Hospital de Santo António - Centro Hospitalar do Porto, Porto, Portugal
  • Sérgio Vilarinho Assistente Hospitalar do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial, Hospital de São Marcos, Braga, Portugal
  • João Pinto Ferreira Assistente Hospitalar Graduado do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial, Hospital de Santo António - Centro Hospitalar do Porto, Porto, Portugal
  • Cecília Almeida e Sousa Directora do Serviço de Otorrinolaringologia e Cirurgia Cérvico-Facial, Hospital de Santo António - Centro Hospitalar do Porto, Porto, Portugal

DOI:

https://doi.org/10.34631/sporl.185

Keywords:

larynx cyst, cardiac arrest, asphyxia

Abstract

Laryngeal cysts represent a kind of rare benign lesions than can cause respiratory distress and eventually death, if not treated properly. Its diagnosis can be dificult, since they usually are casual findings of a routine examination, in an asymptomatic patient.

The authors present a case report of a 47-years-old man, previously healthy, that in a period of approximately 6 hours, evolved from larynx foreign body sensation, to extreme respiratory distress, which ended up in cardiac arrest by airway obstruction. This was reversed after orotracheal intubation and EV administration of adrenalin. After three days of medical treatment with corticotherapy and broad-spectrum antibiotics, the patient was in spontaneous ventilation and was extubated. At this time, a mass was recognizable in the lingual surface of the epiglottis, that histologically was compatible with a laringeal cyst.

References

-Harruff RC, Bell JS. Asphyxiating Laryngeal Cyst, Am J Forensic Med Pathol 1987; 8 (1): 68-70.

-Fang TJ, Cheng KS, Li HY. A huge epiglottic cyst causing airway obstruction in adult, Otolaryngol Head Neck Surg 2006; 136 (6): 986-988.

-Albert DM, Ali Z. Two cases of vallecular cyst presenting with acute stridor, J Laryngol Otol 1985; 99: 421-425.

-Person OC, Cerchiari DP, Zanini RV, Santos RO, Rapoport PB. Cisto de base de língua como causa de tosse crónica, Arq Med ABC 2005; 31 (1): 35-37.

-Cahali RB, Zimbres AS, Tsuji DH, Cahali MB, Sennes LU. Cistos supraglóticos de laringe: aspectos etiológicos, clínicos e terapêuticos, Rev. Bras. Otorrinolaringol 2002; 68 (5): 663-666.

-Berger G, Landau T, Berger S, Finkelstein Y, Bernheim R, Ophir D. The Rising Incidence of Adult Epiglottitis and Epiglottic Abscess, Am J Otolaryngol 2003; 24 (6): 374-383.

-New GB, Erich JB. Benign tumors of the larynx. A study of seven hundred and twenty-two cases. Arch Otolaryngol 1938; 28: 841-910.

-Newman BG, Taxy JB, Laker HI. Laryngeal cysts in adults: a clinicopatological study of 20 cases, Am J Clin Pathol 1984; 81: 715-720.

-Verneuil. Bulletin de la Societé Anatomique de Paris 1852.

-DeSanto DM, Devine KD, Weiland LH. Cysts of the larynx – Classification, Laryngoscope 1970; 80: 145-176.

-Lawrence W, DeSanto DM. Laryngocele, Laryngeal Mucocele, Larger Saccules, and Laryngeal Saccular cysts: A developmental Spectrum, Laryngoscope 1974; 18: 1291-1296.

-Arens C, Glanz H, Kleinsasser O. Clinical and Morphological aspects of laryngeal cysts, Eur. Arch. Otorhinolaryngol 1997; 254: 430-436.

-Holinger PH, Johnston KC. Benign tumours of the larynx, Ann Otol Rhino Laryngol 1951; 60: 496-509.

-Lam HC, Abdullah VJ, Soo G. Epiglotic cyst, Otolaryngol Head Neck Surg 2000; 122: 311-312.

-Lee WS, Tsai CH, Lin CH, Lee CC, Hsu HT. Airway obstruction caused by a congenital epiglottic cyst. Int J Pediat Otorhinolaryngol 2000; 53:229-233.

-Martin WP, John KW, Charles AV. J Laryngol Oto 1996; 110; 854-856.

-Ozgursoy OB, Hunkar B, Beton S, Gursel D. Sudden-onset lifethreatening stridor in an adult caused by laryngeal ductal cyst. Ear Nose and Throat J 2009; 583-587.

How to Cite

Ribeiro, R., Vilarinho, S., Ferreira, J. P., & Almeida e Sousa, C. (2011). Supraglottic mucopyocele with cardio-respiratory arrest. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 49(3), 193–196. https://doi.org/10.34631/sporl.185

Issue

Section

Case Report