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Case report
Coblation of paediatric cystic laryngeal lymphovascular malformations: a safe and effective alternative to tracheostomy
  1. Christopher St Clair Gaston Thompson1,2,
  2. Lucy Qian Li2 and
  3. Alok Sharma2
  1. 1Anatomy, Division of Health Sciences, University of Edinburgh, Edinburgh, UK
  2. 2Department of Paediatric Otolaryngology, NHS Lothian, Edinburgh, UK
  1. Correspondence to Christopher St Clair Gaston Thompson; christhompson3{at}nhs.net

Abstract

We describe the case of a 12-hour-old, full-term newborn girl referred to the Ear, Nose and Throat emergency team with increased work of breathing and stridor present at birth. Flexible nasendoscopy revealed a cystic laryngeal lesion obstructing the glottis that prompted securing of the airway with intubation and transfer to a tertiary paediatric centre. On further investigation with MRI and direct visualisation, the lesion was identified as a mixed macro/microcystic laryngeal lymphovascular malformation. The patient successfully underwent a series of microlaryngo–bronchoscopy and coblations of the laryngeal lesion with the aim of avoiding a tracheostomy. We describe the presentation, diagnosis and management of this rare condition in a paediatric case, along with a literature review of the subject.

  • ear
  • nose and throat/otolaryngology
  • paediatrics
  • neonatal and paediatric intensive care
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Footnotes

  • Contributors AS, CSGT: Clinical, Case identification. LQL: Literature search. AS, CSGT, LQL: Manuscript writing, Manuscript checking.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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